Lone Star Aero Club Application Form Name:_______________________________________________________________________ Home Phone with area code: ( ) ________________________________________ Work Phone with area code: ( ) ________________________________________ Address: ___________________________________________________________________ City,State,Zip:_____________________________________________________________ Email Address: _____________________________________________________________ Aviation Experience:________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Note: All information is strictly confidential. ---------------------------------------------------------------------------- Send dues of $25 to help cover newsletter and guest speaker expenses etc to: Lone Star Aero Club, c/o Ted Black 1005 Cambridge Ct. Wylie, Tx 75098-5215 Questions/Info call Ted at 817-282-5274 (Dues submitted after August of each year are considered current for the following year)