User account

Account information

Username: *

Spaces are allowed; punctuation is not allowed except for periods, hyphens, and underscores.

E-mail address: *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

1. Personal Information

Email address (confirm):: *

Firstname: *

Lastname: *

Date of birth (yyyy/mm/dd): *

The content of this field is kept private and will not be shown publicly.

Mobile Phone: *

Home Phone: *

Street Address: *

City: *

State: *

Zip Code: *

2. Employment Information

Employer Name: *

The content of this field is kept private and will not be shown publicly.

Job Title: *

The content of this field is kept private and will not be shown publicly.

Work Phone: *

Employer Address: *

Please enter your full employer business address. The content of this field is kept private and will not be shown publicly.

3. Pilot Information

License Type: *

In addition to license type, select all that applies to you below:

Instrument

Multi-Engine

CFI

CFII

MEI

A&P

Pilot Certificate Number:

The content of this field is kept private and will not be shown publicly.

Date Issued (yyyy/mm/dd):

Last BFR Date (yyyy/mm/dd):

The content of this field is kept private and will not be shown publicly.

Medical Certificate: *

The content of this field is kept private and will not be shown publicly.

Med. Certificate Issue Date (yyyy/mm/dd):

The content of this field is kept private and will not be shown publicly.

Med. Limitations/Restrictions:

The content of this field is kept private and will not be shown publicly.

Have you ever had your Pilot Certificate revoked or suspended: *

The content of this field is kept private and will not be shown publicly.

Have you ever been involved in an aircraft accident: *

If any of your above answer is 'Yes', please explain in the box below. The content of this field is kept private and will not be shown publicly.

Explanation:

The content of this field is kept private and will not be shown publicly.

4. Flying Experience

Total Flight Hours: *

Total Dual Hours: *

Total Flight Hours in the last 12 months: *

Total Night Hours: *

Total Instrument Hours: *

Total Cross Country Hours: *

Aircraft Type, Hours in Type (Cessna 172 - 130 hrs):

Please list one aircraft per line. Two or Three aircrafts would be fine.
Example:
Cessna 172 - 130 hrs
Cirrus SR20 - 50 hrs

5. Membership

I like to apply for Membership Level: *

Make check payable to Inn Flying Club.
Bring your check with Driver's license records to your orientation.

How did you FIRST learned about the Inn Flying Club: *

Please Enter the first time you have ever heard about the club, this will help us reach the general audience better.

Comments:

If you have any additional request or comments. Please enter them here. The content of this field is kept private and will not be shown publicly.

Terms and Conditions of UseBy clicking the "Accept" button below and upon acceptance of your membership by the board of directors. You as a member, hereby acknowledges and agrees to be bound by the Articles of Incorporation, Bylaws, and Operating Rules of Inn Flying Club, Inc. and all terms and conditions contained therein, for as long as you are a member of Inn Flying Club, Inc.

Accept Terms & Conditions of Use *