Duke Flyers  Association

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

Personal Information
Name
Street Address
City, State, ZIP/Postal Code Country
Office Phone	Fax
Home Phone
E-Mail Address
Occupation
Spouse's Name
Other Aviation Organization Memberships

Interest
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

Please mail this form to:

Duke Flyers Association

c/o James C. Gorman

PO Box 2599

Mansfield, OH  44906-0599