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First Name:
Last Name:
Address:
I have read and agree to the club bylawspit rules, aware of Know Before You Fly, and understand individual responsibility to complete the FAA sUAS registration. (check box confirming)
City:
State:
Zip:
Mobile Phone:
Emergency Contact Number:
E-Mail:
AMA Number (if new state "new". You will be contacted to provide copy of your temporary receipt to the membership officer.)
Flying Experience:
Note: This application is a two step submission process. Upon completion of the above and submission, you will be directed to our payment page.  If you have a second adult or additional junior joining our club, a separate form submission and payment for each person is necessary. Your submitted payment is for the annual club membership only and is non refundable.  One does not need to be a PayPal member to pay dues. Major credit cards are accepted via PayPal and PayPal nominal fee is added. Dues are $75.00 per year payable by January 1. Junior membership (under 18) or Student membership is $25.00 per year. Junior membership applications must be submitted by parent or legal guardian.
Date of Birth:    
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