EAA TULSA CHAPTER 10 MEMBERSHIP APPLICATION AND RENEWAL FORM Name: Address: City: State: Zip: Home Phone: Work Phone: National EAA#: Co-Pilot/Spouse: Aircraft Owned Make & Model: Projects and percent complete: Date: Would you prefer to use the Chapter Website to receive the Newsletter? YES NO Email Address: Membership Dues are $20.00 (Some things Never Change) Name, Address, City, State, Zip and National Membership # are required in order to process your application. Please supply the above information and mail with a check for $20.00 to the following address or bring this application to the next meeting. Meetings are held at 7:30 pm on the third Monday of each Month at the Chapter hangar on Gundy’s Airport. EAA Tulsa Chapter 10 CHAPTER TREASURER 16876 e. 79TH Court North Owasso, OK 74055