2018
TM
Name: _______________________________________________________________ EAA #:_______________ VAA #:______________ Address:_____________________________________________________________ City: ________________________________________________________________ State:________________ ZIP:________________ Phone:_______________________________________________________________ E-mail:_______________
Choose your level of participation: o Diamond Plus ($1,500 or more) o Diamond ($1,000-$1,499) o Platinum ($750-$999) o Gold ($500-$749) o Silver ($250-$499) o Bronze Plus ($150-$249) o Bronze ($100-$149) o Loyal Supporter ($99 or less) Badge Information
(for Bronze Level and above)
o Payment enclosed (Make checks payable to Vintage Aircraft Association)
o Yes, prepare my name badge to read:
o Please charge my credit card for the amount of: $
_________________________________
Credit Card Number: Expiration Date: Signature:
Vintage Aircraft Association | 3000 Poberezny Rd., Oshkosh, WI 54902 | 920-426-6110 | EAAVintage.org
(Please print name)
o No, I do not need a badge this year. Certificates o Yes, I would like a certificate. o No, I do not need a certificate for this year.
The Vintage Aircraft Association is a non-profit educational organization under IRS 501c3 rules. Under Federal Law, the deduction from Federal Income tax for charitable contributions is limited to the amount by which any money (and the value of any property other than money) contributed exceeds the value of the goods or services provided in exchange for the contribution. An appropriate receipt acknowledging your gift will be sent to you for IRS gift reporting reasons.