About Us

MEMBERSHIP APPLICATION IOWA BALLOONIST ASSOCATION MEMBERSHIP FORM Dues March 1, 2008 to March 1, 2009 Fiscal Year Date: ________________ Name: ______________________________________________________________ Address:_____________________________________________________________ City:________________________State:__________________Zip:_____________ Home Phone Number: ( ) ___________________________ Work Phone Number: ( ) ____________________________ E-mail address: _________________________________ BFA (Balloon Federation of America): ______Yes _______No _____Commercial Pilot _____Private Pilot _____Student Pilot _____Observer _____Balloon Crew _____Balloon Enthusiast Ballooning History:__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Your Birthday:___________________________ Spouses Birthday______________________ Anniversary Date:___________________________ Children’s Name: Children’s Birthday: ______________________________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________________________ Please make checks payable to: Iowa Balloonist Association Mail to: Louise Clemons, 1219 Wade St., Des Moines, IA 50315 **All Pilots must be members of IBA by the annual Continuing Education Seminar to be eligible for the title of ALL IOWA CHAMPION. President Thad Bloom grump961@aol.com Vice President Joel Worthington joel@diamondjake.com Editors Bill and Louise Clemons hotairrepair@aol.com Secretary Sheri Clark slynnclark@yahoo.com Treasurer John Jenson IFDDMFD59@aol.com Past President Christine Bertsch oasisballoon@aol.com