• PRINT, & COMPLETE ALL ITEMS IF APPLICABLE,
• SORRY, WE DO NOT ACCEPT CREDIT OR DEBIT CARDS.
• ENCLOSE CHECK, AND MAIL TO: BELL 47 HELICOPTER ASSOCIATION INC. 28931 BRINK RD. SHATTUC, IL. 62231 YOUR CHECK #___________OR CASH________
• NEW INDIVIDUAL MEMBERSHIP $125
• GOLD MEMBERSHIP W/O FRAME $750
• ANNUAL RENEWALS $30. DATE_________________CURRENT ROSTER MEMBERSHIP #______________
• YOU MAY CHECK ROSTER AT http://bell47helicopterassociation.org/site/roster/

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HELICOPTER MODELS OWNED OR RENTED REGISTRATION NUMBER: __________________________________BELL 47 PILOT FLIGHT HOURS_______________________ RATING/S_______________________________________PROXY OPTION: I HEREBY PROXY MY B47HA VOTE TO PRESIDENT JOEY RHODES. (PLEASE SIGN & DATE)________________________________