TACRA Associate Membership Application  (fold and tape edges)

Name: __________________________     Date: ____/_____/ 2005 

Address: 

Email Address: 				Telephone: 

I enclosed check ___ or money order___ for $ 20 Dues: $______ 

Contribution: $________ Monthly Contribution - $ __________

Comments: _____________________________________________________



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				The AirCar Research Association
				c/o R. A. Strong
				7514 Belle Plaine Drive
				DAYTON OH 45424-3229