Central Ohio Balloon Club Membership Application

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All membership applications will be considered upon the receipt of applicable membership dues. Please present dues at next General Business Meeting or via USPS Mail. Membership dues can be sent to: Central Ohio Balloon Club; PO Box 141403; Columbus, Ohio 43214

Email *

Name

Mailing Address

Phone Number

Alternative Phone Number

Membership Type:

Individual: $20.00 Annually

Family: $30.00 Annually (Two (2) members living in the same household, two (2) voting privileges, newsletter, two (2) listings on the club roster.

Student: $15.00 Annually

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FAA Pilot Rating

Commercial Pilot

Private Pilot

Student Pilot

Not Applicable

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Hot Air Ballooning Experience

None...but excited to learn!

Past Passenger

Crew Member

Crew Chief

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A copy of your responses will be emailed to the address you provided.

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