Fly Wyld New Member Questionnaire

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This form will help us better understand your aviation and social goals alongside your current experience. The information gathered below will remain private and confidential with the Directors of Fly Wyld and will be used for evaluation purposes such as insurance and member evaluation.

What's your email address? *

Pick your top TWO reasons for your interest in Fly Wyld *

Camaraderie with other pilots

Access to the specific Fly Wyld aircrafts (Cherokee 180, 140, Lance)

Advancement of license and/or ratings

Reduce the cost flying

Access to Fly Wyld safety and educational conferences

Required

Which aircraft do you want to fly?

Piper Cherokee 180 (PA-28-180)

Piper Lance (PA-32R-300)

Piper Cherokee 140 (PA-28-140)

Telephone *

Your Name *

Street Address

Zip

Birth Date *

YYYY

US Citizen: *

Yes

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