First Name: M.I.: Last Name:

Street Address: Apt: #:

City: State:   Zip:

Home Phone:   Cell Phone:  

Person to be notified in case of emergency:

Relationship:    Phone:  

E-mail adddress:  

1. To preserve, in flying condition, a complete collection of aircraft
2. To provide Museum buildings for permanent protection and display of these aircraft and to establish the museum as a tribute to the thousands of men and women who built, serviced, and flew them.
3. To perpetuate these aircraft in the memory and hearts of all persons, young and old.
4. To establish an organization having the dedication and enthusiasm necessary to operate, maintain, and preserve these aircraft.

The Mid Atlantic Air Museum is a self-supporting, privately financed, all-volunteer organization. It is non-profit, tax-exempt, and incorporated under the laws of the State of Pennsylvania for charitable and educational purposes.

You do not need to be a pilot to become a member of the Mid Atlantic Air Museum. Anyone can join who has the desire to participate in and see a part of history preserved.

I CERTIFY that the statements made by me in this application are true, to the best of my knowledge and belief, and are made in good faith. I will give my full support to the aims and objectives of the Mid Atlantic Air Museum and will assist the Museum in attaining these objectives.

Date:

Signature:

METHOD OF PAYMENT:

Check # VISA/MC/Discover # Exp. Date:   Validation Code: