Name: ___________________________________ Spouse's Name_______________________________

e-mail address:____________________________________________________

Address: ________________________________________________________
_______________________________________________________________
_______________________________________________________________

Phone (H) ________________________ (H)____________________________

(Please Include the year, Model and N Number)
Waco Models Flown in the Past:______________________________________
Waco Models Under Restoration______________________________________
Waco Models Owned and Flying Now__________________________________
If Not Wacos, Other Aircraft Owned____________________________________
_______________________________________________________________

I would like to assist the AWC as follows:
Club officer/director, technical articles, forums, newsletters, fly-in committee, other:
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________

Comments: ______________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________

Signature: _______________________________________________________
 

Date: Month ___________Day __________20__

Please also note that it is our policy to issue only the information that is on

this form. For example, if you do not list your phone number or Waco

Model, this information will not be included on our membership listing.

Your membership is important to us.