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Today is:
5 September, 2008
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Inn Flying Club
I'd rather be flying - (Maryland, Virginia, DC)
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Account information
Username:
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Your full name or your preferred username; only letters, numbers and spaces are allowed.
E-mail address:
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A password and instructions will be sent to this e-mail address, so make sure it is accurate.
1. Personal Information
E-mail address : (confirm):
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Firstname:
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Lastname:
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Date of birth (yyyy/mm/dd):
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Street Address:
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City:
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State:
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MD
DC
PA
VA
WV
FL
SC
NC
Zip Code:
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Mobile Phone:
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Home Phone:
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2. Employment Information
Employer Name:
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Job Title:
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Work Phone:
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Employer Address:
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Please enter your full employer business address.
3. Pilot Information
License Type:
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None/New Pilot
Student Pilot
Recreational Pilot
Private Pilot
Commercial Pilot
Airline Transport Pilot
In addition to license type, select all that applies to you below:
Instrument
Multi-Engine
CFI
CFII
MEI
A&P
Pilot Certificate Number:
Date Issued (yyyy/mm/dd):
Last BFR Date (yyyy/mm/dd):
Medical Certificate:
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None
Third - 3rd Class
Second - 2nd Class
First - 1st Class
Med. Certificate Issue Date (yyyy/mm/dd):
Med. Limitations/Restrictions:
Have you ever had your Pilot Certificate revoked or suspended:
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No
Yes
Have you ever been involved in an aircraft accident:
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No
Yes
If any of your above answer is 'Yes', please explain in the box below.
Explanation:
4. Flying Experience
Total Flight Hours:
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Total Flight Hours in the last 12 months:
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Total Night Hours:
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Total Instrument Hours:
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Total Cross Country Hours:
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Total Dual Hours:
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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:
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Cirrus SR20 - $2050
Cessna 172 - $1550
Cessna 152 - $650
Make check payable to Inn Flying Club.
Bring your check with Driver's license records to your orientation.
How did you learn about the Inn Flying Club:
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Terms and Conditions of Use
By 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
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