PUEBLO HISTORICAL AIRCRAFT SOCIETY
MEMBERSHIP APPLICATION
(*) indicates required fields
(*) NAME:
(*) STREET:
(*) CITY:
(*) STATE:
(*) ZIP:
(*) PHONE (
)
(*) TYPE OF MEMBERSHIP:
SELECT
REGULAR - $15 PER YEAR
LIFETIME AGE 60+ - $100
LIFETIME AGE 40-59 - $125
LIFETIME UNDER 40 - $150
EMAIL:
THE (PHAS) INTERNATIONAL B-24 MEMORIAL MUSEUM IS A NON-PROFIT CORPORATION
PLEASE FILL IN THE AREA BELOW IF YOU WOULD LIKE TO HELP IN THE MUSEUM.
SKILLS:
1.
2.
3.
TYPE OF WORK I WOULD LIKE TO DO:
1.
2.
3.
I CAN WORK IN THE MUSEUM ON:
MON
TUE
WED
THU
FRI
WEEKENDS:
SAT
SUN
MILITARY/AVIATION EXPERIENCE (NOT REQUIRED FOR MEMBERSHIP):
ADDITIONAL:
MAKE CHECKS PAYABLE TO:
PHAS
AND MAIL TO:
PHAS
31001 MAGNUSON AVE.
PUEBLO, CO 81001