Flight 11 Membership Application

 

Order of Daedalians  -  FLIGHT 11 – FALCON

 

NEW MEMBER APPLICATION & INFORMATION                 Date:_____________

National Daedalians Number:  ___________    National Dues Year:  _______
NOTE: You MUST be a member of the National Daedalians PRIOR to joining Flight 11
             Please see
www.daedalians.org for details and application       
                                 
First Name:  _____________________
Last Name: _______________________ Suffix: _______

Military Rank & Service:  __________________________    Active/Retired/Former: __________

Street Address: _________________________
City: ________________ State: ____ Zip: ______

Phone Number:  (______)________________ 
Cell Phone:  (______)___________________

E-mail:  _________________________________
|@ _________________________________

Spouse’s Name:  ____________________          
Club Member:  Yes/No: ________ 

Flight 11 Sponsor(s):  ________________________________________________________

 

Flight 11 Dues are $20 Annually (Jan-Dec)   Paid by Check (# _____)  


For Flight Admin Use:

 Membership :   Application Accepted __  Database Entry _____

Treasurer:   Dues Received ______          Dues Year _______

Flight Captain:  Welcome Letter Sent ______

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