Idaho Aviation Association

Address & Contact Information (* are required)

Your Name*:

First

Last

Address*:

OK to Pub?

City*

State*

ZIP*

Home Airport ID:

(5 char max. Do NOT include leading "K")

E-mail Addr:

OK to show?

Home Phone:

OK to show?

Work Phone:

OK to show?

Cell Phone:

OK to show?

Fax Phone:

OK to show?

Chapter Affiliation:

Sponsoring Member:

Electronic Newsletter Only:

Sign me up for the electronic news list:

If you are an aircraft owner, please fill in the following:
Year		N-Number	Equipment/features
	If nothing fits above, enter Make/Model here:
You can add additional aircraft to your personal record via this website, later.

Dues and Extras Ordering

Price

Qty

Membership

MembershipType

Additional Household Members

$12.00

Additional Items

Price

Qty

Embroidered Hat

Color
Black	$20.00
Blue	$20.00
Green	$20.00
Red	$20.00
Tan	$20.00

Patch

$5.00

T shirt

Color	Size
Smoke	Small	$20.00
Smoke	Medium	$20.00
Smoke	Large	$20.00
Smoke	X-Large	$20.00
Smoke	XX-Large	$20.00
Blue	Small	$20.00
Blue	Medium	$20.00
Blue	Large	$20.00
Blue	X-Large	$20.00
Blue	XX-Large	$20.00
Gray	Small	$20.00
Gray	Medium	$20.00
Gray	Large	$20.00
Gray	X-Large	$20.00
Gray	XX-Large	$20.00
Black	Small	$20.00
Black	Medium	$20.00
Black	Large	$20.00
Black	X-Large	$20.00
Black	XX-Large	$20.00
White	Small	$20.00
White	Medium	$20.00
White	Large	$20.00
White	X-Large	$20.00
White	XX-Large	$20.00

Polo Mens

Color	Size
White with yellow collar	Small	$30.00
White with yellow collar	Medium	$30.00
White with yellow collar	Large	$30.00
White with yellow collar	X-Large	$30.00
White with yellow collar	XX-Large	$30.00
Blue	Small	$30.00
Blue	Medium	$30.00
Blue	Large	$30.00
Blue	X-Large	$30.00
Blue	XX-Large	$30.00
White with blue collar	Small	$30.00
White with blue collar	Medium	$30.00
White with blue collar	Large	$30.00
White with blue collar	X-Large	$30.00
White with blue collar	XX-Large	$30.00
Green	Small	$30.00
Green	Medium	$30.00
Green	Large	$30.00
Green	X-Large	$30.00
Green	XX-Large	$30.00

Polo Womens

Color	Size
Blue	Small	$30.00
Blue	Medium	$30.00
Blue	Large	$30.00
Blue	X-Large	$30.00
Blue	XX-Large	$30.00
White with yellow collar	Small	$30.00
White with yellow collar	Medium	$30.00
White with yellow collar	Large	$30.00
White with yellow collar	X-Large	$30.00
White with yellow collar	XX-Large	$30.00
Seafoam	Small	$30.00
Seafoam	Medium	$30.00
Seafoam	Large	$30.00
Seafoam	X-Large	$30.00
Seafoam	XX-Large	$30.00

Embroidered Long Sleeve Shirt

Color	Size
Yellow	Small	$30.00
Yellow	Medium	$30.00
Yellow	Large	$30.00
Yellow	X-Large	$30.00
Yellow	XX-Large	$30.00
Beige	Small	$30.00
Beige	Medium	$30.00
Beige	Large	$30.00
Beige	X-Large	$30.00
Beige	XX-Large	$30.00

Womens Embroidered Long Sleeve Shirt

Color	Size
Yellow	Small	$30.00
Yellow	Medium	$30.00
Yellow	Large	$30.00
Yellow	X-Large	$30.00
Yellow	XX-Large	$30.00
Beige	Small	$30.00
Beige	Medium	$30.00
Beige	Large	$30.00
Beige	X-Large	$30.00
Beige	XX-Large	$30.00

Denim Long Sleeve Shirt - Men's

Size
Small	$30.00
Medium	$30.00
Large	$30.00
X-Large	$30.00
XX-Large	$30.00

Denim Long Sleeve Shirt - Women's

Size
Small	$30.00
Medium	$30.00
Large	$30.00
X-Large	$30.00
XX-Large	$30.00

General Avaition News ($10 off reg. subscription)

$25.00

Poster

$15.00

Captcha ASP image test against automated form submission

BEFORE CLICKING BELOW TO SUBMIT,
you must enter the above characters
into the text box below for verification
purposes. This helps us keep away spam.

VERIFICATION TEXT (Reqd)

New Member Application Form