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We welcome you to join EAA Chapter 172 or update your membership information. We have a strong membership with members who come from all walks of life and age groups, who, with a common interest in aviation, come together to
form one of best Chapters in the USA. Members come from Georgia and South Carolina counties in the vicinity of Augusta, Georgia. We are "friendly" to all types of  aircraft: Conventional, Vintage, Experimental, Homebuilt, Warbirds, Light Planes, Ultralights, Gyroplanes, Helicopters, Powered Parachutes, Trikes, Balloons, Blimps, Derigibles and anything else that flies! Chapter membership entitles you to join in on some fun, exciting and memorable events. We encourage members to also get their mates involved so they too can share in the fun. And you don't need to own an aircraft, build an aircraft or even fly an aircraft to join! Our local dues are only $20 a year. Look over our Website and see what we do!

  
Please fill out the form below. 
Underneath it is information about where to mail your initial dues payment. 

                 Send me a copy of my application by e-mail:

What is the current date -- Month/date/year? (REQUIRED)

Your full name:    (REQUIRED)

Your mailing address:   (REQUIRED)

                                                       

Your city: (REQUIRED)

Your state: (REQUIRED)

Your Zip-code: (REQUIRED)

Your phone number (in xxx-xxx-xxxx format):

Second phone number? (also click which kind)

Third phone number? (also click which kind)

Your birthday month and day:

Spouse's name:

Your spouse's birthday month and day:*

Your anniversary month and day:*
    *You can let us know later on after you find out!

Your e-mail address:

You have: 
Pilot certificates/ratings (check all that apply) 

Student pilot   Ultralight Pilot    Ultralight Instructor    FAA Recreational pilot    Private pilot   Commercial  pilot  Airline Transport pilot   FAA Instructor (CFI/CFII)   Multi-engine    Instrument Rating    Other:

Gender     

What led you to your interest in aircraft?

 

What are your family's reactions to your aircraft interest?

 

Describe the type(s) of aircraft you own, or wish to own, including the make, model and year. Please state whether you own it or wish to own it along with your answers!

 

Are you building or restoring an aircraft?

If you are building, is it from a kit or from plans?

Would you like to see this club have a project?

If so, what kind of project?

If you have any comments, write them here:

      Thanks for Joining!   

After you go to the next page (the results page) and find out you were incorrect filling out part of the form, please use your BACK ARROW, click on RESUBMISSION  make your changes and SUBMIT this form again!

 

Please mail your $20 annual dues to: 

Don Bush
Treasurer, EAA 172
4511 Boulineau Rd.
Blythe, GA 30805

Those who join our chapter are also asked to join the National EAA to obtain the benefits of their information, magazines and insurance programs. Click HERE to go directly to the National EAA Website membership section.

 You may also print out this form and send it by  

     Snail Mail to:

EAA Chapter 172
4511 Boulineau Rd.
Blythe, GA 30805


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