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Join By Mail

                    Membership / Renewal Form

         Washington Seaplane Pilots Association

  

Name: ________________________________________________

Address: ______________________________________________

City: __________________________________________________

State: ____________ Zip: ________________

Phone: ____________________

Email Address: _________________________________________ (required for communications)

Airplane: N#: _______________Type: _______________________


Calendar Year for Membership (please circle) 2015 2016 2017


 ________Memberships @ $30 ea = $ ________________

 Open Water Legal Fund Donation:   $ ________________

                                              TOTAL: $ ________________


 Make check payable to: WSPA

                           

 Mail to:       WSPA c/o Jack Jacobson
                    10806 178th Pl NE
                     Redmond, WA 98052

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