Duke Flyers  Association

Membership Application  (Print this page, complete, and mail)


Personal Information




Street Address


City, State, ZIP/Postal Code



Office Phone




Home Phone


E-Mail Address




Spouse's Name


Other Aviation Organization Memberships





What brings you to the Duke Flyers Association



___ I own a Duke

___ I am a Duke fan


___ I am interested in buying a Duke

___ General Interest


___ I fly a Duke

___ Professional Interest (press, sales, pilot, cfi, etc)


___ I want to fly a Duke

___ Other ____________________________



Duke Information (if you own or fly a Duke)

Duke Registration Number


Serial Number


Approximate Hours in a Duke


Duke Based At


Previous Dukes Owned?



Other information about yourself or Duke that may be of interest to other Members



Enclosed is my check for $125.00 (4 years dues) made out to:  Duke Flyers Association

(419) 755-1223 (mornings)
(419) 529-3822 (evenings)
(419) 529-5654 (fax)
Please mail this form to:

Duke Flyers Association

c/o James C. Gorman

PO Box 2599

Mansfield, OH  44906-0599