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 Membership
application |
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Post Office Box 4351 Tacoma,
Washington 98438
1.800.239.4524
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First Name |
___________________________________________________________________________ |
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Last Name |
__________________________________________________________________________ |
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Address |
__________________________________________________________________________ |
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City |
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State |
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Zip Code |
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Country |
__________________________________________________________________________ |
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Work Phone |
__________________________________________________________________________ |
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Home Phone |
__________________________________________________________________________ |
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E-Mail Address |
__________________________________________________________________________ |
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Company/Base/Unit |
__________________________________________________________________________ |
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Job Title |
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Aircraft Flown |
__________________________________________________________________________ |
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Duty Status |
__________________________________________________________________________ |
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How did you hear of the PLA? |
__________________________________________________________________________ |
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Who referred you? |
__________________________________________________________________________ |
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I CERTIFY THAT I AM/OR HAVE BEEN A QUALIFIED
LOADMASTER
_____________________ |
Tell us a little about yourself in this area: |
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Length of Membership |
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1 year |
$15.00 |
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3 Year |
$35.00 |
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Lifetime |
$150.00 |
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Please enclose your check and mail to the address at
the top.
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If you wish to use PayPal go to
www.loadmasters.com/payhere.htm
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If you have any questions E-mail us |