The Arizona Pilot's Association

P.O. Box 61242

Phoenix,  AZ  85082-1242

MEMBERSHIP APPLICATION

Today's Date:

Your name:   

Address:        

City:   State: Zip:

 E-Mail:             

 Own an aircraft?  Yes No Year Make/Model

 Day Phone   Evening Phone   Cell Phone

 License Private Commercial ATP Home Airport

 Ratings (List all)

We are always looking for people to help out on committees and special APA projects.  How would you like to best serve general aviation and the pilots of Arizona?

  1 year ($25)    

  2 years ($45)        

  3 years ($68)

  Add $5 for Additional Family Member              TOTAL SUBMITTED:   $

You have two (2) options for submitting your membership application and dues:

    (1)  After completing the above on-line form, print the completed form and mail it along with your membership dues to: (IMPORTANT:  Do Not Click on the "Submit" button if you will be sending your membership and  check via U.S. Mail)

 Arizona Pilot's Association

P.O. Box 61242, Phoenix, AZ 85082-1242

-or-

    (2)  After completing the above on-line form, click on this button to send your application directly to our in-basket.....then, return to this page and click on the  "Click Here to Pay" button below to go to our PayPal page where you can submit your dues using your credit card via PayPal. 

Your membership will not be complete until both the membership form and the membership dues are received.

Please tell us which payment method you will be using:    Check via mail,    PayPal

If you have questions or problems with this on-line form, please contact the webmaster