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MEMBERSHIP FORM
Name ______________________________________________________________________ Address_____________________________________________________________________ ___________________________________________________________________________ _____________________________________Zip_______________________ Phone (Home) ______________________ (Bus.) _______________________ email address: ___________________________________________________ BACKGROUND & EXPERIENCE ___ No flight experience ___ Ground school and some flight experience _______Tailwheel time _______Tricycle time (Hours) (Hours) ___Student Pilot ___Private Pilot ___Other_____________________
(For example, R/C modeler, glider pilot ; please describe) License Number ( If applicable)_________________ Aircraft Owner ____ Yes ____ No N-number (If applicable)_______
I understand that membership in the Green Castle Aero Club, Ltd, as described in the by-laws, continues indefinitely as long as dues are paid and I abide by the club rules. My membership makes me a stockholder in the corporation and extends membership privileges to my spouse and children younger than 18 years. I understand that in the event of an accident with an aircraft owned by the corporation in which the pilot was following club rules (as determined by the Board of Directors,) corporate policy is that the entire membership will share equally the cost of the current insurance deductible. I agree to pay my share of this as assessed by the Board of Directors. I also agree that unless otherwise exempt, (see by-laws), I will pay my semi-annual dues on January 1 and July 1 of each year and will pay club fees promptly. Membership is $150. Monthly dues are set by the Board (currently $12.50/month.) Monthly dues are waived for members who hangar their aircraft at the Green Castle Airport. Dues are paid semi-annually. Enclosed is my check for $________ to be applied to my membership (or my membership and dues) in the Aero Club, Ltd.
_________________________________ Date__________ (Signature) If a current club member is referring you please tell us his or her name: ______________________________ |