Professional Pilot's Association
Membership Application
Please print this form, complete and bring it to the next monthly meeting
Select One:
  New Membership
  Member Updated Information 		DATE:__________________
APPLICANT INFORMATION

Name:_______________________________

Address:_____________________________

City/State/Zip:_________________________

Home Phone:__________________________

Pilot Certificate
Number:______________________________

E-Mail:_______________________________

Company:____________________________

Address:_____________________________

City/State/Zip:_________________________

Office Phone:__________________________

Type Aircraft 
Now Flying:___________________________

MEMBERSHIP APPLICATION REQUIREMENTS

  • Attend three meetings.
  • Be actively involved in aviation.

______________________

MEMBERSHIP DUES:

   New Member Initiation Fee $50.00
 ______________________

COMMITTEE CERTIFICATION
(new member applicants require endorsements from three PPA members)

1._______________________________________

2._______________________________________

3._______________________________________

______________________

Approved_________________________________

Rejected_________________________________

Date_____________________________________

I certify that I hold a Commercial Pilot's Certificate and have a minimum of 600 hours.

Signed___________________________