Date of Application:
Name Date of Birth Home Phone
Children (If applicable) Cell Phone
Spouse or Other Name Work Phone
Address Fax
City State Zip Occupation
VAC Members known to you (if any) 
E mail
E mailCheck areas you are interested in:
Other You do not have to be a Pilot or Warbird Owner to belong to the VAC.
Donations to the VAC are tax deductible. Valiant Air Command is a 501 (c) (3) Educational Museum.
Application is subject to approval by the VAC Board of Directors.
Make checks payable to Valiant Air Command.
VISA or MASTERCARD # Exp. Date
Exp. DateMembership: (Family membership Includes children under 18)
(Family membership Includes children under 18)Lifetime Membership (One time payment)
(Lifetime Membership also includes two laminated VIP Guest Passes for Museum Admission for your guests.)
Pilot Information Only:
Pilots Name Phone Cell Phone
Phone Cell PhoneAddress:CityStateZip
CityStateZip Aircraft/Warbirds Currently Owned
N Number(s) CertificatesRenew Date
CertificatesRenew DatePilot Certificates Flight Review/Proficiency Check Date
Flight Review/Proficiency Check DateTotal Hours Medical ClassDate Issued
Medical ClassDate IssuedAerobatic Waiver F.A.S.T. Formation Card Military Service
F.A.S.T. Formation Card Military ServiceBranch of ServiceLength of Service
Length of ServiceRevised 01 October 2008 lmj
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Valiant Air Command Membership Application
V.A.C. Flight Operations
Ken Terry - Operations Officer
Valiant Air Command, Inc.
6600 TICO Road, Titusville, FL 32780
Phone - 321-268-1941 Fax - 321-268-5969
Main V.A.C. web site: www.vacwarbirds.org
Flight Operations e-mail: kenterry@cfl.rr.com
This is a test version. Please check with VAC to make sure it went through
