Date of Birth: Married?: Yes No If yes, spouse's name:

Did you serve in the Armed Forces? Yes No If Yes then which branch? Country?
Please Give Us a brief hisory of your duties performed while in the service.

Date of Service: Rank at Separation:

List aviation related skills, business skills, historical/museum skills:

List CAF members, if any, with whom you are acquainted?
Do you wish to affilate with a CAF Unit? Yes No If yes, which unit?
Eplain how you would like to contribute to the development of the CAF (financially, time, talent, annual contributions, aircraft sponsorships, etc.)