Address       ___________________________________________

City             ___________________     St. ____  Zip  __________

Telephone   (____) ____-______  Email  __________________

AMA #        ________________ Applied for: ___________

Frequencies Used _____________________________________

I would like instructor assistance. _______
Fee Schedule:  
                          Initiation Fee - $20 (one time assessment)
                         Annual Dues - $45  (due each January)
I have read and understand the flying field regulations of the
Osceola Flyers, Inc   I agree to abide by said.

Signature  _________________________         Date ____________

Make checks payable to:  Joe King c/o Osceola Flyers