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
