SHELBY AERO CLUB

     Membership Application         
    Print this page, fill out and mail to address below with dues


    Name ______________________

Street Address _____________________

City __________________ State _____ Zip code _______

Phone _________________ Work __________________

Cell ___________________ Pager __________________

E-mail _______________________________________

Family - Names and Ages

___________________________________________________________________


Aircraft type and or ratings held

___________________________________________________________________
 Mail to: Shelby Aero Club at 3569 North 100 West, Shelbyville, Indiana 46176

 Club phone / contact: Dan Catherman (Flight Care) 317 392-1408

Activities: Poker runs, Fly-ins, Cookouts, Trips, Fundraisers, and more!

Meetings held: First Monday of each month at Shelbyville Airport (GEZ)

Dues: $30.00 per year due January 1st
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