Bellanca-Champion Club

On-line Membership Application
and Renewal

Membership is open to ALL who have an interest in the Bellanca, Champion, Aeronca and derivative lines of aircraft. Ownership and pilot ratings are NOT required. All memberships are individual (name and contact info required) and includes our quarterly magazine B-C Contact!, email and telephone support, free ads in our Fly Market, discounted member prices from our Publication Catalog and the Gift Shop, and special purchases from time to time.

Home	Click Here for Printable Application

	Renewal - Member ID: [New Applicants leave blank] New Members: Name and full address required for mailing credentials and magazine.

	--------- First -------- -----------Last-----------
* Name:	Spouse:
Addr:
Addr:
City:	St/Prov: Zip/PC:
Country:	[Outside USA only] :
Home Tel:	Work Tel:
* e-mail:
Aircraft 1:	Model: Year: Tail #
Aircraft 2:	Model: Year: Tail #
Aircraft 3:	Model: Year: Tail #
Comments:

Member Contact Information Privacy Policy: It is Club policy to deny requests for Member contact information. However, there is a need for members to contact each other for model-specific issues from time to time. To assure your right to privacy yet fill the need for intra-Club communication, we are implementing an "opt-in" program. To be available to other members, please check below: I agree to allow the Bellanca-Champion Club to release the information checked below to current Club members: Home Telephone Number (as listed above) or special number: Work Telephone Number (as listed above) or special number: Email Address (as listed above) or special address:

Due to the huge rise in the cost of processing credit cards, we are forced to add a $2 surcharge to the dues; this is regardless of the length of membership/renewal. Thanks for understanding. Select Membership:	U.S. 1 year: $46 ($44 plus $2 C.C. surcharge) 2 years: $85 ($83 plus $2 C.C. surcharge) 3 years: $127 ($125 plus $2 C.C. surcharge) Int'l: 1 year: us$49 ($47 plus $2 C.C. surcharge) 2 years: us$91 ($89 plus $2 C.C. surcharge) 3 years: us$136 (us$134 plus $2 C.C. surcharge) [Int'l memberships are outside U.S., and are based on mailing address and sent via Air Mail]
	* Dual - Concurrent membership in the *Aeronca Aviators Club* (a $44 value) is only $35 per year. U.S. 1 year: $81 ($79 plus $2 C.C. surcharge) 2 years: $155 ($153 plus $2 C.C. surcharge) 3 years: $232 ($230 plus $2 C.C. surcharge) Int'l: 1 year: us$84 ($82 plus $2 C.C. surcharge) 2 years: us$161 ($159 plus $2 C.C. surcharge) 3 years: us$241 ($239 plus $2 C.C. surcharge) [Int'l memberships are outside U.S., and are based on mailing address and sent via Air Mail]
	Visa, Discover, Mastercard only
Credit Card Number:	- Expires: /

..or..

Bellanca-Champion Club

Home

Click Here for Printable Application