Member Registration - Step 1 of 3

Please enter your informaton below. This is a three-step process:

1. Collect your information. 
2. Verify your email address.
3. Collect membership payment.

First Name*        Last Name*
Username*   Specify a login Username that you will remember. Usernames must be unique within the system.

You will use this Username to login.

You may change your Username in the future.
Email*   Email addresses must be unique within the system.

A verification code will be sent to this email address to continue registration.

You may change this email address at anytime in the future.    Email Again*
Password*   Passwords must be 8 characters or longer.      Password Again*
Company  
Address1*  
Address2  
City*     State*     Zip*
Country*
Phone1*        Phone2
Remarks
Tell Us
About
Yourself
User Agreement* I agree with the terms and conditions of the User Agreement.
   

The option to select your memership type will be in Step 3. Your choices will be:
$35 annual, $95 three-years, $150 five-years, or $500 Lifetime membership.
The Aeronca Museum is a non-profit 501(c)3 organization. Copyright 2012.