MEMBERSHIP APPLICATION
Valiant Air Command, Inc.
6600 Tico Road, Titusville, Florida 32780-8009
Phone (321) 268-1941 • Fax: (321) 268-5969
Email: vacwarbirds@bellsouth.net
This form in printable PDF format

The Valiant Air Command Board of Directors invites you to join our organization.  Our goal is to restore, preserve and keep the warbirds of the past in flying condition.  We sincerely hope you will consider becoming a member.

PLEASE PRINT CLEARLY.  MAIL, FAX or ACCESS EMAIL FROM OUR WEBSITE. THANK YOU!    YOUR INFORMATION IS CONFIDENTIAL.


Date of Application: _____________________________

Name ________________________________Date of Birth________________ Home Phone (      ) __________________

Children's Names (Under age 18) ____________________________________Cell Phone (     ) _____________________

Spouse or Other Name _____________________________________________Work Phone (      ) ___________________

Address__________________________________________________________Fax (      ) __________________________

City _____________________________ State _________ Zip _________________ Occupation ____________________

VAC Members known to you (if any) ____________________________________E mail___________________________

Please check areas you are interested in:

  AirShows _____ Restoration______ Advertising _____ Museum_____ Volunteering _____ Grants _____ Warbirds ______

  Flying, if pilot _____ Leadership _____ Committees _____ Other ______________________________________________

 You do not have to be a Pilot or Warbird Owner to belong to the VAC.  Donations to the VAC are tax deductible as provided by law.  Valiant Air Command is a 501 (c) (3) Educational Museum.

YOUR VAC MEMBERSHIP INCLUDES
1.  Three-day free access to the VAC Annual AirShow.
2.  Invitation to all events during the AirShow.
3.  Access to the Flightline during the AirShow.
4.  UnScramble newsletter with future events listed.
5.  AirShow and Fly-In participation.

6.  Invitation to special members-only events.
7.  Opportunity to volunteer ­ Museum or AirShow.
8.  Free access to the Valiant Air Command Museum.
9.  10% Member Discount in Gift Shop.

Application is subject to approval by the VAC Board of Directors.  Make checks payable to Valiant Air Command. 

Check #: ______ Credit Card:    VISA     MASTERCARD   _________  _________  _________  _________ Exp. Date: _____________

Membership:  Single (1) _____$75.00*/Year   Family (2) _____ $100.00* (Includes children under age 18)
                    *December 1, 2009: Single: $100.00; Family: $125.00.

Lifetime: Ages 0-59 ______ $1000.00            Ages 60-69 ______ $750.00   Ages 70+ ______ $500.00      (One time payment)

(Lifetime Membership also includes two laminated VIP Guest Passes for Museum Admission for your guests.)

Pilot Information Only:

Name: ______________________________________________Phone: ___________________Cell_____________________

Address:_____________________________________City_______________________State__________Zip_____________

Aircraft/Warbirds Currently Owned_______________________________________________________________________

N Number(s) ___________________________Certificates: ______________________________Renew Date: ___________

Pilot Certificates: __________________________________ Flight Review/Proficiency Check Date: ___________________

Total Hours: ________________________________________ Medical Class: _____Date Issued: _____________________

Aerobatic Waiver: Yes_____ No _____                                            F.A.S.T. Formation Card: Yes _____ No ______

Military Service (check one) Yes_______  No ________Branch of Service: ____________ Length of Service: __________

Revised 01 September 2009 lmj

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