RTAA Annual Membership Application
Application Type:
Corporate_____ Individual_____
Company or Individual Name________________________________________________________
Address_______________________________ City_______________ State______ Zip_________
Office Telephone____________________________ Office Fax_____________________________
E-mail__________________________________________________________________________
Representative Name______________________________________________________________
Cell Phone__________________________ Home Phone__________________________________
E-mail__________________________________________________________________________
Corporate Members - please list company pilots
Name__________________________________________ Title___________________________
Address______________________________ City_______________ State______ Zip_________
Home Phone______________________________ Cell Phone_____________________________
E-mail_________________________________________________________________________
Name__________________________________________ Title___________________________
Address______________________________ City_______________ State______ Zip_________
Home Phone______________________________ Cell Phone_____________________________
E-mail_________________________________________________________________________
Name__________________________________________ Title___________________________
Address______________________________ City_______________ State______ Zip_________
Home Phone______________________________ Cell Phone_____________________________
E-mail_________________________________________________________________________
Name__________________________________________ Title___________________________
Address______________________________ City_______________ State______ Zip_________
Home Phone______________________________ Cell Phone_____________________________
E-mail_________________________________________________________________________
Name__________________________________________ Title___________________________
Address______________________________ City_______________ State______ Zip_________
Home Phone______________________________ Cell Phone_____________________________
E-mail_________________________________________________________________________
AC 1 - Make:________________________ Model:________________________ N__________
AC 2 - Make:________________________ Model:________________________ N__________
AC 3 - Make:________________________ Model:________________________ N__________
AC 4 - Make:________________________ Model:________________________ N__________
AC 5 - Make:________________________ Model:________________________ N__________
AC 6 - Make:________________________ Model:________________________ N__________
If you have more company pilots or company aircraft to list, please write them on the back. - THANK YOU
Please mail application to:
Race Team Aviation Association
c/o Concord Regional Airport
9000 Aviation Blvd, BE1
Concord, NC 28027
The annual membership fee is:
$100.00 for a Corporate Member
or
$25.00 for an Individual Member