SCHAF Membership Application - Please fill in all fields marked with an *

First Name *
Last Name *
Nickname
Mailing Address *
City *
State *
ZIP *
Phone - Home / Work / Cell
Email
Birth Date
Employer or Employment Status
Interest or Background in Aviation
and Other Organizations
Military Service or History
Basic Membership - $30
Bombardier Membership - $100.00
Co-Pilot Membership - $500.00
Raider Membership - $5,000.0
Flight Engineer/Family Membership - $60.00
Navigator Membership - $250.00
Pilot Membership - $1,000.00
Corporate Membership - $

South Carolina Historic Aviation Foundation
3100 Devine Street
Columbia, SC 29205
(803) 731-3254 (803) 400-1951 fax
www.schistoricaviation.org

Please fill out and print this form and mail to the address below: