ARIZONA BLUE SKY FLYERS MEMBERSHIP APPLICATION
FILL IN ALL APPLICABLE BLANK FIELDS
Member Name:
____________________________________________________________________
Spouse Name: _____________________________
Home Phone: ___________________________
Street Address:
____________________________________________________________________
City State ZIP:
____________________________________________________________________
E-Mail Address:
___________________________________ Internet Newsletter? Yes ____ No ____
Business Phone: __________________________
Company: _______________________________
CHECK PILOT CERTIFICATE GRADE AND ENTER
RATINGS HELD:
_____Non-Pilot _____ Ultralight _____ Student _____ Recreational
_____
Private _____ Commercial _____
ATP
______ Instrument
INDICATE INSTRUCTOR CERTIFICATES AND
RATINGS HELD:
Flight Instructor Ratings:
____________________________________________________________
Ground Instructor Ratings:
___________________________________________________________
OTHER PILOT INFORMATION:
Total
Pilot Hours: ___________ Hours Last 12 Months: ___________
BFR
Date: ____________________ Medical
Date: ___________________
Own
a Plane? Type: ______________________ N=Number: ______________
RATE THESE MEMBER BENEFITS ON A SCALE OF
1-10 (10 = Very Important):
____ Aircraft Rental Discounts ____
Informative Speakers
____ Merchandise Discounts ____
Overnight Fly-Ins
____ Club Simulator Use ____ One-Day Fly-Ins
____ Club Equipment Loans ____ Social Activities
____ Ground School
MEMBERSHIP, DUES, AND FEES:
ABSF membership is for a calendar year. Annual dues of $25.00
are due January 1 each year (additional family members at the same address
$10.00 - BOTH require applications and waivers). New members prorate dues for
remainder of the year and include $20.00 initiation fee.
Select: New Member Dues ($25) plus $20
initiation fee =($45) $_______, Renewal $25. _______, or Family Member
$10_______. If you would like a key to the Equipment Cabinet, please check here
___ and include a $3.00 annual fee with your dues.
BE SURE YOU READ AND SIGN THE
WAIVER ON THE BACK OF THIS APPLICATION.
MAKE CHECK PAYABLE TO `ARIZONA BLUE SKY FLYERS and MAIL WITH
APPLICATION TO:
Tanna Romberg,
ABSF Treasurer
6376 W Donald
Drive
Glendale AZ
85310