CHOOSE YOUR LEVEL OF PARTICIPATION:
Name: __________________________________________________________ EAA #: ________________ VAA #: __________________
Address:______________________________________________________________
o Diamond Plus ($1,500 or more) o Diamond ($1,000-$1,499) o Platinum ($750-$999) o Gold ($500-$749) o Silver ($250-$499) o Bronze Plus ($150-$249) o Bronze ($100-$149) o Loyal Supporter ($99 or less)
City: _____________________________________________________________State: _____________________ ZIP:_______________
BADGE INFORMATION Phone:___________________________________________________________Email: _____________________
o Payment enclosed (Make checks payable to Vintage Aircraft Association)
(for Bronze Level and above)
o Yes, prepare my name badge to read:
________________________________ (Please print name)
o Please charge my credit card for the amount of: $ Credit Card Number: Expiration Date: Signature:
o No, I do not need a badge this year.
CERTIFICATES
o Yes, I would like a certificate. o No, I do not need a certificate for this year.
Vintage Aircraft Association | 3000 Poberezny Rd., Oshkosh, WI 54902 | 920.426.6110 | EAAVintage.org The Vintage Aircraft Association is a nonprofit educational organization under IRS 501(c)(3) rules. Under Federal Law, the deduction from Federal Income tax for charitable contributions is limited to the amount by which any money (and the value of any property other than money) contributed exceeds the value of the goods or services provided in exchange for the contribution. An appropriate receipt acknowledging your gift will be sent to you for IRS gift reporting reasons. Contributions must be received by July 15, 2020 to receive recognition at AirVenture 2020