MEMBERSHIP APPLICATION

Supporting Twin Cessna Owners Worldwide since 1988

P.O. Box 12453 Charlotte, NC 28220

(Non-US/Canada/Mexico)

1. Date:

2.

--------------------- ------

Name (First, Middle Initial, Last)

-----------------------------Address

3. / / ----------- ------- ---------

City Province Postal code

4. � __ ) _______ Email: _______________ _Area Code Phone

5. I I

(required)

-------- ------ --------

Airplane Model Serial# Registration#

6. Check Membership Desired:

7. Credit Card

International**

_ 1 year Auto Renew @ $130 (credit card only)

_ 1 year Manual Renew@ $140 (CC or check)

**Includes both print and digital editions.

International - Digital Only

_ 1 year Auto Renew@$85 (credit card only)

_ 1 year Manual Renew@$90 (CC or check)

I / __/ __ / ___________ _

Visa MC Amex Disc Number

I I ---------- -- -- ----------

Name on Card Exp. Date Signature

Please fill out and fax to: 1-877-977-3246 or email to editor@twincessna.org

Join online with a credit card at www.twincessna.org