MEMBERSHIP APPLICATION

Print and mail this form.

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 Type         Home Airport

 Ratings

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    Name of Family Member         

TOTAL SUBMITTED:   $

METHOD OF PAYMENT

TO PAY BY CREDIT CARD:  Highlight the completed form above, copy and paste it into an email and send to:  Membership@AZPilots.org.     To use this method, please submit your payment by credit card via our secure Shopping Cart and follow the instructions.

TO PAY BY CHECK:     Print the completed form and mail it along with your check to: