Membership Application and Update Form

In order to receive the member discount price at the pump, please fill out the following form completely. If you are currently a member and your credit card information has changed, please complete the application below in order for those changes to be registered.

After submitting this application, you will be provided with an address to which you must send in a $20 annual membership fee. Membership is valid from the time of submission until the next annual Los Alamos Avgas business meeting, held in July. The membership fee is waived for those who attend the annual members meeting, sign the attendance roster, and submit this form. 

The information you provide here will never be used for any other purpose, and will never be distributed to any other organization. Questions about membership or this form should be addressed to: