NSA Membership Application

NATIONAL SMOKEJUMPER ASSOCIATION

www.smokejumpers.com

MEMBERSHIP APPLICATION

SMOKEJUMPERS:     All who have completed smokejumping training

PILOTS:                        Smokejumper pilots

ASSOCIATES:              All who support the NSA   

      

Last Name___________  First Name________________MI_______

Common Use of First Name (i.e. Buddy, Marge, Joe)_____________

Mailing Address:_________________________________________

City:___________________State:______________Zip:_________

Telephone:(___)__________Email:_________________________

Smokejumper Base & Rookie Year___________________________

Other bases  & Years Jumped_______________________________

For Pilots: Bases & Years Where a Pilot:_______________________

Associates: Current Job or Other Status:______________________

Membership Dues:

1 Year:  $30                                        2 Years:  $50

5 Years: $100                                   10 Years:  $180

                         Life Membership: $1000

Make Checks Payable to:  NATIONAL SMOKEJUMPER ASSOCIATION

MAIL TO:

NSA John R. McDaniel

P.O. Box 105

Falun,   KS  67442-0105

NOTE TO APPLICANTS:  Please copy the application from the blog and paste it to Word and print. Thank you