Title: OGLE COUNTY PILOTS, Inc
Author: Gary J. Melvin
Company: GarMel Technologies

OGLE COUNTY PILOTS, Inc.
P. O. Box 61
Mt. Morris, Illinois 61054
MEMBERSHIP APPLICATION
Today’s date:________________
PERSONAL INFORMATION:
Name:   _____________________________________________ Date of Birth:______________
Address:_____________________________________________                Age:_____________
              _____________________________________________
              _____________________________________________
Name of Spouse:______________________________________
Home Phone:_________________Work Phone:_______________Cell Phone:_______________
Email Address:_________________________________________________________________
FLYING INFORMATION Circle those that apply (if you are a pilot):
License:    Student     Rec/Sport     Private     Comm      ATP      License #__________________
Ratings:     AIRPLANE       HELICOPTER      GLIDER      SE      ME      INSTRUMENT    SEAPLANE     CFI     CFII     TAILWHEEL    OTHER (Specify)_________________________
Type Ratings:____________________________________________ Total Hours:___________
Estimate of recent average hours flown per year:__________
Current Medical?   Yes   No     Class:   I    II    III     Date of Issue:________________________
Do you ever intend to base an aircraft at the Ogle County Airport?       Yes    No   
Do you ever intend to buy/build a hangar at the Ogle County Airport?      Yes     No
Are you a current EAA Member? Yes    No    EAA # _________________________
OGLE COUNTY PILOTS ACTIVITIES: All Ogle County Pilots (OCP) are expected to participate and work at annual events, especially the BREAKFASTS.  In addition to this, which of the following are you interested in participating? Circle those that apply:
Mowing      Snow removal     Publicity     Membership     Maintenance     Finance    Fuel systems Roads, grounds and runway     Social activities   Other (Specify)_________________________
What special skills and/or equipment do you possess that can be applied to the airport? (Specify)_____________________________________________________________________
Mail check and completed form to:
Ogle County Pilots, Inc.
P.O. Box 61
Mt. Morris, Illinois 61054
----------------------------------for OGLE COUNTY PILOTS’ use only----------------------------------

Membership Fee <<<>>> Amount Received:____________________________
                                               Check Number:____________________________

Received by:_____________________________ Date Received:____________
Distribution: 	1) OCP Secretary
1) OCP Membership Chairman
1) Applicant