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EAA Chapter 63 Membership Application
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* Indicates required question
Email
*
Your email
Name
*
Your answer
Mailing Address
Your answer
Phone Number
Your answer
EAA National Membership Number
Your answer
Do you give permission for your information to be made available to other EAA Chapter 63 members?
*
Yes
No
Email address only
Phone number only
Do you own an aircraft?
Yes
No
Clear selection
If you own an aircraft, what is the make and model?
Your answer
If you own an aircraft, what is the registration?
Your answer
Which other aviation groups do you belong to?
Springfield Flying Club
Canadian Owners and Pilots Association
Manitoba 99s
Women in Aviation
Other:
Which licences and ratings do you hold?
ATPL
CPL
PPL
RPP
UPP
GPL
Night
VFR OTT
IFR
Seaplane
Helicopter
Student Pilot
Aviation Enthusiast
Other:
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