NAME: ____________________________________________________________________________

STREET___________________________________________________________________________

CITY_______________________________________________________________________________

STATE____________________ ZIP________________ PHONE (____)________________________

TYPE OF MEMBERSHIP:

/__/ - REGULAR- $20 PER YEAR

/__/ - LIFETIME: AGE 60+-$125 , 40-59- $150, UNDER 40 $175

THE (PHAS) INTERNATIONAL B-24 MEMORIAL MUSEUM IS A NON-PROFIT CORPORATION.

PLEASE FILL IN THE AREA BELOW IF YOU WOULD LIKE TO HELP IN THE MUSEUM.

SKILLS:

1._____________________________________________________________________________

2._____________________________________________________________________________

3._____________________________________________________________________________

TYPE OF WORK I WOULD LIKE TO DO:

1.______________________________________________________________________________

2.______________________________________________________________________________

3._______________________________________________________________________________

I CAN WORK IN THE MUSEUM ON: (MON) (TUES) (WED) (THUR) (FRI) (SAT) (SUN)

MILITARY/AVIATION EXPERIENCE (NOT REQUIRED FOR MEMBERSHIP):______________
 
 

ADDITIONAL__________________________________________________________________
 

PAYMENT: /__/ - CASH……… /__/ - CHECK#……… /__/ - MONEY ORDER#: ______________

MAKE CHECKS PAYABLE TO AND RETURN FORM TO:

PHAS
   31001 MAGNUSON AVE.
PUEBLO, CO 81001