Membership
FORM

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Contact *

Country

(###)

###

####

Are you *

Sole Owner

Syndicate

None Flying Member

Are you a member of any other Aero Club? List Box if Yes.

You shall be required to present Licence, Medical & Insurance fail not to do so you will not have access to airside on site. Minor defaults can be carried out on site by a qualified engineer.

Yes

No

Any Convictions other than motoring offence? List Box if Yes.

You shall be required to present Licence, Medical & Insurance fail not to do so you will not have access to airside on site. Minor defaults can be carried out on site by a qualified engineer.

Yes

No

Agree with Aero Club Terms & Conditions *

Yes