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Join IAC Chapter 80
Please print this page and fill out the form below.
MIDWEST AEROBATIC CLUB MEMBERSHIP APPLICATION
 New Member
Renewal
Date: _______________
Name: ___________________________________________________
Address: _________________________________________________
_________________________________________________
Home Phone: _________________________________
Work Phone: _________________________________
E-Mail Address: ___________________________________________
EAA Number: ________________ IAC Number:________________
Aircraft Type: _____________________________________________
Please send this form and $25 to the MAC80 Treasurer:
Doug Roth
1001 West Custer
Lincoln, Nebraska 68521
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