River Bend Squadron West Texas Wing

DUES NOTICE

2006 RIVER BEND SQUADRON DUES – due 1 January 2006……………$25.00

You must be a current CAF member and WEST TEXAS WING member to be eligible to be a participating, voting member of a West Texas Wing Squadron.

Please fill in all pertinent information on yourself below and PLEASE PRINT:

Col. ___________________________________________________Ser#____________Life#__________

Mailing Address_______________________________________________________________________

City/State/Zip_______________________________________________Birthday___________________

Phone: Work (___)__________________Home (___)_________________Fax (___)________________

Page (___)__________________E-mail_____________________________________________

CAF dues expiration date_________________Spouse’s Name___________________________________

Are you a WWII veteran? Yes______No_______ Branch of Service ___________________________

Occupation___________________________________________________________(__)do NOT publish

Employer____________________________________________________________ (__)do NOT publish

CAF Aircraft Sponsored_________________________________________________________________

_____________________________________________________________________________________

WWII Aircraft Owned__________________________________________________________________

_____________________________________________________________________________________

Other type(s) Aircraft Owned_____________________________________________________________

_____________________________________________________________________________________

What other CAF Units do you belong to_____________________________________________________

_____________________________________________________________________________________

Ratings (Pilot, A&P, AI, etc.)_____________________________________________________________

_____________________________________________________________________________________

ARE YOU INTERESTED IN SERVING ON THE RIVER BEND SQUADRON STAFF?_________

Please state which position interests you___________________________________________________

Please make your check payable to River Bend Squadron-CAF and mail to:

Col Linda Fountain, Finance Officer

6303 Modesto Dr., Houston, TX 77083

Amount enclosed for dues……………………………………………………………………………… _______25.00

Contribution enclosed for Hangar Sponsorship……………………………………………………… ____________

Contribution enclosed for Hangar Rent…………………………………………………………………. ____________

Total Enclosed………………. $___________

NOTE: All contributions are tax deductible to the full extent allowed by law

For office use only: Date Recv’d_______________

Amt. Recv’d_______________