PLEASE
LIST ME AS A MEMBER OF THE COMBAT AIR MUSEUM
NAME_________________________________________________________________________________________________________
FAMILY MEMBERS_____________________________________________________________________________________________
ADDRESS_____________________________________________________________________________________________________
CITY___________________________________________________________________STATE___________ZIP____________________
PHONE (optional)__________________________________________________________________
SUPPORTING LEVELS
(Please check one)
__________STUDENT $ 15.00 (Individual membership for children age 17 and under)
__________INDIVIDUAL
$ 30.00
__________FAMILY
$ 40.00 (2 Adults and children age 17 and under residing at same address)
__________LIFETIME $500.00
MAKE CHECK PAYABLE
TO: COMBAT AIR MUSEUM OR PLEASE BILL VISA__________MASTERCARD___________
ACCOUNT #___________________________________________________________________EXP
DATE ______________
SIGNATURE___________________________________________________________________________________________