International Formula 1
IF1 MEMBERSHIP APPLICATION

	    Name: ____________________________________________________________

	    Address: _________________________________________________________

	    __________________________________________________________________

	    Home Phone : ____ _____ ________    Work Phone: ____ _____ _______

	    FAX  Phone : ____ _____ ________

	    E-Mail Address: ______________________________

	    Would you allow the above info to be given to other members?
	    (circle)   YES    NO
	
	    Would you allow your email address to be posted on the IF1 website?
	    (circle)   YES    NO

	    Would you accept the IF1 newletter "Forum" via the IF1 website ("No" 
	    means that you require that it be printed and mailed to you)?
	    (circle)   YES    NO


	    Type:(Circle)	
	    OWNER
	    PILOT
	    CREW
	    TECHNICAL/OFFICIAL
	    ASSOCIATE	(non-voting)

	    Pilot Rating: _________________        Total Hours: ______________

	    License:# _____________________

	    Medical Class: _________ Medical Expires: ________________________

	    Occupation: ______________________________________________________

	    Race Experience/Interests: _______________________________________

	    I am allergic to (medicines): ____________________________________

	    Blood Type: __________      Date of Birth: _______________________
	
	    Social Security Number: ______-____-_________ (if you expect income)
	

	    Emergency Notification:

	    Name _______________________________ Relationship ________________

	    Address __________________________________________________________

	    _________________________________________ Phone __________________
		     

	    Aircraft Type: __________________ N.No _________ Race.no: ________

	    Aircraft name: ______________________ Colors: ____________________

	    Date of last Annual: _____________________________________________

	    Annual Fees: Full Membership $60  
	                 Associate Membership (non-voting) $35   
	                 Aircraft Race Number $35 each   
	                 Printed/Mailed Copy of bi-monthly Forum Newsletter $20
	    Total Paid $___________

	    I hereby apply for membership of IF1 and agree to abide by all
	    rules and bylaws of IF1.

	    Signature __________________________________ Date ________________

	    Please fill in the appropriate blank fields
	    Make check payable to "International Formula One Inc."
	    return to:  
	
	    Mark Johnson, Secretary/Treasurer IF1
	    1670 Yosemite Ave., #104
	    Simi Valley, California 93063

	    




	    ANNUAL FEES

	    Full membership $60
	    Full membership is open to current pilots and owners of IF1 race 
	    aircraft, crew chiefs, present and past elected Directors and Rules
	    Committee Members, technical inspectors and officials, designers of
	    race aircraft, owners of race aircraft under construction, past
	    owners, and past pilots of race aircraft, and others active in F1
	    racing. Anyone not meeting those qualifications is eligible for a
	    non-voting associate membership.
	
	    Aircraft registration (Race Number) $35
	
	    Associate membership $35
	    With the associate membership, you will receive the Formula Forum,
	    a membership journal that keeps you up to date on the latest race
	    results, news on individual race pilots, aircraft for sale, and much
	    more. The Formula Forum	comes out six (6) times a year The associate
	    membership does not allow you to vote in IF1 elections.

	    Printed Forum ($20)
	    The Forum is available to members at the IF1 website (www.if1airracing.com)
	    for free.  Those desiring a printed/mailed copy need to include $20 with
	    their dues.