2019 Membership Application
**** THIS MEMBERSHIP DOES NOT INCLUDE MAAC INSURANCE COVERAGE*****

Please ensure your MAAC membership has been renewed for 2019. Proof of insurance is required to fly.

Full Name *
Your answer
MAAC # *
(Must expire on or after December 31st 2019)
Your answer
Email address *
Your answer
Paypal email address (if different) *
We need this to verify payment. If your Paypal email address is the same as your contact email this field is not required.
Your answer
New Member? *
Required
Type of Membership *
Required
Street Address *
Your answer
City *
Your answer
Province *
Your answer
Postal code *
Your answer
Phone number *
Your answer
Emergency contact name & phone number *
Your answer
Other club affiliation *
Please list any other clubs you also support.
Your answer
Are you interested in assisting with the club? *
(Tick all that apply)
Required
Type of Aircraft *
Required
SIGNATURE - please type your name *
BY SIGNING THIS APPLICATION, I ACCEPT AND AGREE TO ABIDE BY ALL MAAC AND CRCHC RULES AND BYLAWS AND IF I DO NOT COMPLY I UNDERSTAND THAT MY MEMBERSHIP CAN, AND MAY BE, WITHDRAWN AND/OR REVOKED BY THE EXECUTIVE.
Your answer
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