Full Member/Visiting Pilot, Application Form

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Contact Details

Full Name *

Phone Number *

Email Address *

Residential Address (including post code) *

Date of Birth *

YYYY

SAFA Membership Number *

Class *

Class

Paraglider

Hang Glider

Microlite

Emergency Contact Information

Name *

Phone Number

Email Address *

Relationship to you *

Membership Level

Membership *

Visiting Pilot, $10 valid for 1 month - due before flying.

Full Membership, $50 valid for 1 year - due beginning of each calendar year.

Required

Visitor Flying Date

This is the date you intend to start flying as a visiting pilot, and your visitors membership is valid for 1 month from this date. If you indeed to fly longer, please complete a new application for each additional month.

YYYY

Payment

Make your payment via the PayPal options on the membership page: http://www.cairnshangglidingclub.org/membership
Take note of your transaction ID and enter it below.

Transaction ID *

Electronic Signature *

The information included in this application identifies who I am and, to indicate my approval of the information communicated I have ticked this box as an electronic signature.

Signed

Required

Submit

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