POPS application form
(This is the same form to UPDATE your info for existing members)

Please fill in the form below to apply for your POPS membership,
click SUBMIT at the bottom when done,
then send:

ONE TIME lifetime membership fee: $30

Paypal to: TopPOPUSA@gmail.com (use the friends & family option, not business)

or make check out to "James Davis" and mail to:

James Davis
PO Box 506
Wildomar, CA 92595

Contact info:
Facebook page: POPS-USA
Website: POPS-USA.com

Email: TopPOPUSA@gmail.com
Cell: 910 987 0654

You may use the TAB key (not the ENTER key) to quickly move to the next field.

The * fields are mandatory.

Are you: *
For existing members: Enter any POPS/SOS/JOS/JOES/JONS numbers if you know them (ie:"POPS 123" "SOS 456")
Your answer
First name *
Your answer
Nickname or preferred name (if you have one)
Your answer
Last name *
Your answer
Email *
Your answer
Would you like get our annual (only once or twice a year) email newsletter and/or know about upcoming POPS events?
Date of birth: Day (1-31) *
Your answer
Date of birth: Month (must be a number: 1-12) *
Your answer
Date of birth: Year (4 digits ie: 1966) *
Your answer
country dialing code (for outside the US, for US numbers skip this)
Your answer
Phone number
Your answer
Gender
Line1 mailing address (street in the US) *
(use the next 5 lines as needed for street/city/state/zip or your country's format)
Your answer
Line2 mailing address (city in the US) *
(city or your country's format for line two)
Your answer
Line3 mailing address (state in the US) *
(state or your country's format for line three)
Your answer
Line4 mailing address (zip)
(mandatory entry for US members, use your country's format for line four, put zip on the line it belongs for your country)
Your answer
Line5 mailing address (country if outside the US)
Your answer
Total number of jumps (exact or best guess)
(tandem, AFF, S/L, military, emergency exit...)
Your answer
Date of last jump (exact or closest day/month/year)
(your browser setting will dictate dd/mmm/yyyy or mm/dd/yyyy)
MM
/
DD
/
YYYY
Home Dropzone or Club (include city/state if you know it)
Your answer
USPA (or FAI) membership number (optional)
Your answer
License/rating number (ie: D-1234)
Your answer
Where did you hear about POPS (check all that apply, add your friend's name or DZ name in OTHER)
Do you prefer: water, soda, beer, wine...? (optional)
Your answer
In case you lose/forget your POPS number, only your first name, last name, and POPS number will be listed on our secure website. Is this ok? *
Comments:
Feel free to add any comments. Welcome in advance to POPS! James "Guido" Davis ~ TopPOP USA
Captionless Image
Your answer
Click SUBMIT to send your form, then send $30 via PayPal or check. (no fee for just updating info)
Send PayPal to: TopPOPUSA@gmail.com use the "friends and family" option, not "business"
or mail to:
James Davis
PO Box 506
Wildomar, CA 92595
Submit
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