American Society of Ancient Pelicans

wants you to be become a member of this prestigious organization/
If you have accumulated a minimum of 1,000 hours flying time
Military - Ex-Military - Civilian - Corporate
you are eligible for membership

Membership
Min. Requirement
Silver Level 1,000 hours
Gold Level 5,000 hours
Platinum Level 20,000 hours

Receive a cap with our logo, a lifetime membership card, and a beautiful frameable multi-colored numbered certificate.

$50 including S&H

Send your name and address with
your pilot certificate number and the certification that you have the hours required
to
AMERICAN SOCIETY OF ANCIENT PELICANS
P.O. BOX 4006
Scottsdale, AZ 85261

Enclose your check for $ 50.00
or your credit card number
we accept Visa and Master Card

NAME__________________________________________________

ADDRESS_______________________________________________

CITY_____________________STATE_______________ZIP_______

DATE OF BIRTH___________________________MALE______FEMALE______

PILOT CERTIFICATE NUMBER AND TYPE_______________________________________________

I CERTIFY THAT I AM A LICENSED CIVILIAN PILOT OR MILITARY PILOT AND I HAVE
MORE THAN _____________________
HOURS TOTAL FLIGHT TIME.

I APPLY FOR ____________________ MEMBERSHIP LEVEL

SIGNATURE:_____________________________________________DATE______________________________

CHECK ENCLOSED $____________________PAYABLE TO A.S.A.P. INC.

VISA #___________________________________________ EXP DATE_____________________________

MASTER CARD #____________________________________EXP DATE_____________________________

ZIPCODE OF BILLABLE ADDRESS __________________________________________

ENCLOSE COPY OF YOUR LAST LOG BOOK PAGE.

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