Missouri Pilots Association
Membership Application

Please print this form and mail it along with your $25 check to:

Missouri Pilots Association
1449 S Briar Avenue
Springfield MO 65809-2639

Name:____________________________ Name of Spouse_____________________


City_____________________________ State__________ Zip___________________

Home Phone______________________ Work Phone__________________________

(If you do not want your phone number(s) in our Member's Directory put in 000-0000)

E-Mail Address (optional)_________________________________________________

There are 12 Chapters of the MPA. We will pick the Chapter that is closest to your home.
Membership can easily be changed from one Chapter to another. As a member of a Chapter
you will receive their Meeting Notices once a month. You will also receive the MPA News
which lists the activities of all the Chapters. (Preferred Chapter:  Pony Express)

You and/or your spouse do not have to be active pilots to join the MPA.
Membership is open to all who enjoy aviation.

Referred by:________________