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How to Join SCCAA

Membership Application

Annual membership dues are $40.00 per family.
SCCAA name badges are an additional $15.00 each.

All dues are payable January 1st each year.

To join SCCAA, please complete the form below, print this page on your printer, and sign -- or -- open and print our PDF membership form (204K)

Make check payable to:
SCCAA
Mail to:
SCCAA, P.O. Box 13,
Santa Clara, CA 95052
Optional: Include a picture of yourself, your plane, and family for the SCCAA Web photo album!

Name(s): and

Address:

City: State: Zip+4:

Phone (h): Phone (w):

Fax: Email:

To help reduce costs, please send my SCCAA newsletter via Email
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If you own an airplane...
Type Aircraft
: N#

My plane is based at

Special Interests

FAA Cert/Ratings

Signature: ___________________________________ Date:

Annual dues: $40.00 Badges @$17 each = $
Total $

(All dues are payable Jan. 1st each year.)

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