Membership
Application 2007
Please
review your information and make any corrections. Don’t forget to fill in your USHGA expiration
date. Make your check payable to “MHGA”
and return with the form in the envelope provided. Thank you.
Name:
_______________________________________________
Address:
_____________________________________________
City,
State, Zip: _______________________________________
USHGA
Number: __________________
USHGA
Expiration Date: ____________
Home
Phone: ______________________
Work
Phone: ______________________
Email:
_______________________________________
Emergency
Contact: ________________________________________________________
MHGA Only Membership $25.00
MHGA Flying Membership
(includes Pulpit sticker) $40.00
Joint MHGA\CHGPA Membership
(includes Pulpit sticker) $55.00
Pulpit sticker only $15.00
(Pulpit memberships include flying privileges at Bill’s Hill,
Send
to: MHGA