Membership Form

Membership Type Cost
Single $20
Asssociate $20
Family $20 (additional vote $5)

Included in new membership dues are decal, voting privileges and newsletter ("The Scoop") subscription.  Also available separately are:

Newsletter Subscription $15
Flight Information Manual $5
Pins $5 ($3 for members)
Decals $2 ($1 for members)
Landowner pins (members only) $21.90 (15 pins)
CLAS T-Shirts $12 and up (various styles;  add $3 for shipping)

Print this page, complete the form and mail it, with a check for the appropriate amount payable to CLAS to:

CLAS, P.O. Box 53, Southbury, CT 06488-0053.

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NAME:____________________________________________________

ADDRESS:_________________________________________________

__________________________________________________________

__________________________________________________________

E-mail (print carefully):_______________________________________

PHONE:  Home:___________ Work:___________ Date of Birth:_______

Crew____ Student pilot____ Private pilot_____ Commercial pilot_____

BFA CAAP Level_____ BFA PAAP Level_____ FAA WINGS Level_____

Newsletter only___ Pin____ Decal____ Landowner pins____

T-shirts: (S)____ (M)____  (L)____  (XL)____

BFA Member #_____________  Pilot certificate #_____________