Aero Dynamics Flying Club, Mulino, Oregon
 
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Aero Dynamics Flying Club 
PO Box 891 Mulino, OR 97042
503 632-1944       503 816-9856
 
NAME_________________________________DOB_______________________

 

ADDRESS________________________________________________________

CITY__________________________STATE____________ZIP_______________

HOME PHONE_______________________CELL_________________________

EMPLOYER_______________________________________________________

HOW  LONG_______________________________________________________

OCCUPATION_____________________________________________________

SOCIAL SECURITY #________________________________________________

PILOT'S CERTIFICATE #_____________________________________________

RATINGS_________________________________________________________

LAST MEDICAL ________________LAST BI-ANNUAL ______________________

TOTAL AIRMAN TIME __________ LAST 12 MONTHS______________________

HAVE YOU EVER HAD AN AIRCRAFT ACCIDENT OR VIOLATION FILED AGAINST

 YOU?_________IF SO, EXPLAIN_______________________________________

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TYPES OF AIRCRAFT EXPERIENCE____________________________________

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HAVE YOU EVER BELONGED TO A FLYING CLUB?________________________

HAVE YOU EVER FILED BANKRUPTCY?__________EXPLAIN_______________

 

 
  I WISH TO JOIN THE AERO DYNAMICS FLYING CLUB WITH A CURRENT ENTRY FEE OF $1250.00- $250.00 OF WHICH IS REFUNDABLE (WITH A $100.00 CREDIT CHECK THAT WILL BE SUBTRACTED FROM THE ENTRY FEE, NON-REFUNDABLE), A MONTHLY MAINTENANCE FEE OF $75.00, AND A HOURLY (HOBBS)  FLYING RATE OF $70.00 PER HR FOR THE CESSNA 172. I AGREE TO ABIDE BY CLUB BY-LAWS AND REGULATIONS. (You may pick up copies of the Club By-laws and Operations Manual at the time of your first lesson or check out-ask your instructor for them. Please read them; it is important that every club member be familiar with the club's operating procedures and by-laws.)    I AGREE TO ABIDE BY THESE RULES AND OPERATING PROCEDURES TO THE BEST OF MY ABILITY. I ALSO UNDERSTAND THAT A CREDIT CHECK WILL BE CONDUCTED PRIOR TO ADMISSION IN THE CLUB.

SIGNED _______________________________________DATE _________________

SPONSORED BY_____________________________________________________

 

 

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