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Borden Flying Club Annual Flying Member Survey
The data that we are collecting from flying members is required for reporting to our insurer.
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Total Time
*
Your answer
Time in previous 12 months
*
Choose
Less than 10 hours
11 to 20 hours
21 to 35 hours
36 to 50 hours
51 to 100 hours
Over 100 hours
Total time on type Cessna C177B Cardinal (hours):
*
Your answer
Above flight hours "as of" date
*
MM
/
DD
/
YYYY
Date of last medical exam
*
MM
/
DD
/
YYYY
Date of Birth
*
MM
/
DD
/
YYYY
Licence Number
*
Your answer
Ratings: Check all that apply; If needed (e.g. Instructor, etc.) use "other" and add all other ratings separated by commas.
*
No ratings
Night
Instrument
Multi-engine
VFR Over The Top
Seaplane
Other:
Required
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