EAA Lifetime Member Three Easy Steps to
EAA Lifetime Membership
Please complete the online enrollment information below.
Step 1: Select Your Lifetime Membership Type

Individual Lifetime Membership (U.S.A.) - $1,295
Individual Lifetime Membership (Canada) - $1,570
Individual Lifetime Membership (International) - $1,795  
Member Plus Spouse (U.S.) - $1,595
Member Plus Spouse (Canada) - $1,870
Member Plus Spouse (International) - $2,095

          Note: One magazine subscription per household for Member Plus Spouse (International) membership

 
Step 2: Complete the Following Information
 * Fields required to process this form   
*First Name:
*Last Name:
Current EAA Number (if applicable): 
*Membership Mailing Address 1:
Address 2:
*City:
State/Province:
Postal/Zip Code: -
Country:
E-Mail Address:
*Phone Number: 
   

Ship to, if different than membership mailing address:

Address 1:
Address 2:
City:
State/Province:
Postal/Zip Code: -
   
I prefer to be called: 
ex. Your name is Robert, but you prefer to be called Bob.
 
Please tell us how you'd like your Lifetime Member jacket personalized:
Your Lifetime jacket may include up to three lines of personalization (popular choices include EAA Chapter name, your city/state, or N-number).
Personalization:
ex. Robert T. Jones
Oshkosh, Wisconsin
EAA Chapter 4321


Choose size:  S   M   L   XL   2XL   3XL
 
Please tell us how you'd like your Lifetime Member plaque personalized:
Name:
ex. Robert T. Jones; Bob T. Jones; Bob Jones
 
If you selected a Lifetime Membership Plus Spouse, please enter his/her name below:
Spouse Name:
ex. Robert T. Jones; Bob T. Jones; Bob Jones
 
Step 3: Choose Your Payment Option
By checking this box, I am indicating my agreement to the terms contained or referred to in this document, and to pay the amounts listed. I agree to the following terms and conditions of the EAA Lifetime Membership:
    1. No portion of the membership fee is refundable;
    2. No transfer of current membership balance toward the cost of a Lifetime Membership payment;
    3. This Membership is not tax deductible.
Please select a payment option:

E-Z Pay Installment Plan: I prefer to pay in 12 interest-free, monthly installments. Please charge $0.00 for the first installment to the credit card below.

Pay In Full Now: I prefer to pay the full amount of $0.00 now. Please charge the credit card below:

Credit Card Type
*Credit Card Number:
(enter 16 digits (15 for AMEX), no spaces)
*Expiration Date: Mo. Yr.
(example: enter 08 13 for August 2013)