BOWMAN EAGLES APPLICATION

                                                                                    Form date: 7-1-2008

(Please Print !)

Name: _____________________________________ Date:__________ Date of Birth __________

Address:_________________________________________________________________________
                        Street                                                                                         City                             State                                     Zip

_______________________     ___________________     ________________________     ________________________________________________
Home Phone                              Bus. Phone                         Cell Phone                                    email

Type of Membership Applied For: Flying ____ Non-Flying ____ Aux Flight Instr.______

FAA Certificate: No. _____________

Private ___ Commercial ___ ATP ___ CFI ___ CFII ___ Single Engine Land ____

Medical: __________ _______________ Flight Review:___________
                        Class                        Date                                                                     Date

Total Flying Hours ______Total Tailwheel Time _____ Tailwheel Signoff? Yes___ No___

Aeronca /Champ/CitabriaTime __________

How did you hear about Bowman Eagles __________________________________________

Why do you want to join the Club? ______________________________________________

____________________________________________________________________________

Personal References from those having first-hand knowledge of the applicant’s aeronautical/piloting ability:
(please give name and phone number)

_______________________________________________

_______________________________________________

_______________________________________________

Meetings are normally held on the first Monday of each month, 7:00 pm at the Aero Club on Bowman Field.

Members: Initiation: $200 Dues: $60 per month Gate Card Deposit: $25

Charge per flying hour:         Citabria Model 7ECA         N1697G & N9039L         $55 (wet)

        Contact one of the following Directors for additional information:

        Jim Nolen (502-541-8073), Bob Allen (502-599-1118)

        Steve Meyer (502-491-3624), Dave Derrick (502-451-4274) , Berry Bannon (502-633-5935),

        Steve Bickel (502-245-8180), Steve Koch (502-396-4016), Joe Brightwell (502-245-1061),

Please mail the completed application and your check for the $260 initiation fee and first month’s dues
(plus $25 deposit if you need a gate card) to:

                    Bob Allen
                    Bowman Eagles
                    9007 Seaton Springs Pkwy
                    Louisville, KY 40222