Wright Brothers Dinner Mail Form

ENTER, PRINT AND MAIL THIS FORM (This is not an automated form)

1. Dinner Reservations
# of Guests:	($65 per person)	$
ATTENDEES:
2. Would you like to Join or Rewew membership?
No Thank You.
Yes. Renew my membership. $25
Yes. I wish to JOIN for $20 for a 1-year membership:
Donate $100 to Scholarship Fund and receive free membership or renewal		$
3. Additional Scholarship Donation:
All proceeds go directly to local men and women striving for a career in aviation:		$
4. Enter your personal information:
Name:
Street:
City:	State: Zip:
Phone:
Email:
GRAND TOTAL including Member Charge, Dinners, Donation:		$