Civil Air Patrol New Membership Information Request Form If you are interested in joining CAP as an Aerospace Education Member,  please email Major Johnson More information about Aerospace Education Membership Title MR.    MRS.    MS. Dr.  First Name:   MI: Last Name: Street Address: Mailing Address: City: State: Please Choose One Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming  Zip Code: Email Address: Phone: Fax:  Age:  10-1819-2021-2526-3031-3536-4040-45Over 45 *Parent's Name: *Required for prospects under 18 years of age* How did you hear about CAP?: Air Show CAP Exhibit CAP Member (Please tell us who) Family Member Former CAP Member Friend Magazine Other Radio School Television Interests (check all that apply): Leadership Training Aerospace Education Associate Member Senior Membership Cadet Membership Cadet Mentor Squadron Commander Cadet Sponsor Membership Communications Training Survival Training Disaster Relief Flight Training Search and Rescue Glider Program Instructor, Aerospace Education Model Rocketry Program Instructor, Communications Instructor, Computer/Data Processing Pilot, Glider Instructor, Drill and Ceremonies Instructor, Orientation Flight Public Relations/Marketing Military Training Other(Please Specify) Demographics (check all that apply): AOPA Member Air Force Association Member Aircraft Owner Armed Forces Active Duty Armed Forces Reserve Armed Forces Retired EAA Member FAA Certificated Flight Instructor (CFI) Former CAP Member NASAR Member National Guard Non-Commissioned Officer Officer Pilot, FAA Pilot, Military Prior Military Service Soaring Society of America Member Other (Please Specify) Please Leave Comments/Questions Here:
	This site is written and maintain by: Major Jim Johnson, CAP Email the Web Manager