Bell 47 Helicopter Association Inc.- COPY, PRINT, ENCLOSE CHECK, AND MAIL TO: BELL 47 HELICOPTER ASSOCIATION INC. 28931 BRINK RD. SHATTUC, IL. 62231 YOUR CHECK #___________OR CASH________NEW INDIVIDUAL MEMBERSHIP $125____Renewals required. GOLD MEMBERSHIP W/O FRAME $750_____No Renewals required. ANNUAL RENEWALS $30 _____ If you are past due for four years you must rejoin. ROSTER #______________
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- ADDRESS_______________________________________________
- CITY_____________________________STATE___________________ZIP_____________________COUNTRY_____________
- PHONE ______________________________E-MAIL_____________________________________
- BELL 47 MODEL OWNED/RENTED REGISTRATION NUMBER: ____________RATINGS_________HOURS_______
- PROXY OPTION: I HEREBY PROXY MY B47HA VOTE TO PRESIDENT JOEY RHODES. Sign__________