PCA Membership Application

FORM INSTRUCTIONS: This is NOT A SUBMIT ONLINE form. Complete, Print, and SnailMail. Include payment by Check

Membership Type (s)		Price	Quantity	TOTAL AMOUNT
				TOTAL DUE $
Membership		$ 20.00
Additional Family Voting Members		$ 10.00
Merchandise
PCA Pin		$ 3.50
PCA Patch	Size(s)	$ 4.50
Polo Shirt		$ 25.00
Sweatshirt (100% Cotton)		$ 25.00
Sweatshirt (50/50)		$ 20.00

Name and Address	MAIL TO
Name Address City State ZipCode Phone Email	Linda Walton Treasurer Pacific Coast Aeronauts 1428 Maysun Court Campbell, CA 95008 Phone: 408-378-7013 Email: lindalwalton@earthlink.net