Venice Aviation Society, Incorporated
Fast
File
Application for Membership
Yearly
Dues only $20.00 Please remember to
include your check with this application
Please Print Clearly
Name: _____________________________________________________________________
Last First Middle
Name as you want on your name badge ________________________________________
Mailing Address: ____________________________________________________________
City, State, Zip: _____________________________________________________________
E-mail address (optional): _____________________________________________________
Phone (Home): ________________________
(Work): ______________________________
Pilots and non-pilots welcome.
Pilot?
_______ Yes ________ No
Signature: __________________________________________________________________
Date: ______________________________________________________________________
Send your application with your check for
$20.00 payable to VASI today!
VASI, c/o Albert W. Paul, Treasurer, 4476 Via Del Villetti, Venice, FL 34293