MEMBERSHIP APPLICATION TO JOIN
SILVER WINGS FRATERNITY

Print Name & Title______________________________ Spouse__________________________

Address________________________________________________________________________________________________

City__________________________________________________________________ State_______ ZIP______-____

Phone (Res)_____________________________ (Bus)_____________________________
(Show Area Code)

Date of first solo_____________ (Make & model)_____________________

Location of first Solo:_________________________________________

I certify that I soloed in a powered aircraft at least 25 years ago this date. A check or Money
Order in US currency for $25.00, payable to Silver Wings Fraternity, is enclosed.

Sponsor____________________ Applicant______________________ Date_________
                            (Optional)                                                                     (Signature required)

Mail this completed Application and check to:

SILVER WINGS MEMBERSHIP P.O. Box 44208 Cincinnati OH 45244

NOTE: IF YOU WOULD LIKE TO ALSO JOIN A CHAPTER OF SILVER WINGS, SEND YOUR APPLICATION AND CHECK TO THE PRESIDENT SHOWN ON THE CHAPTER CONTACTS PAGE OF THIS WEB SITE.

DUES: New member, send just                         $25.00 You receive New member kit and lapel pin.        (If appropriate, a 50-year pin is sent.) Renew each year for just                      $25.00 Husband & wife new members send  $25.00 each        (Both must be eligible to join.) Husband & wife members renew for  $20.00 total Individual Life Membership                 $200.00 International $30.00

SWF MERCHANDISE (For Members Only): Lapel pin               $5.50           Patch/Wings $3.00 Decal               $1.50 Patch/Shield         $6.00 50-Year Card     $10.00 50-Year Wings with Star $6.50 (If both the 50-Year Card and Wings are ordered at the same time the  total price is $16.00.)

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