Mona Flying Club Membership Renewal
Surname ___________________________ Forenames__________________________________
Post Code ___________ Occupation _______________ Email Address —––––––––––––––––––-
Have you ever served in the Armed Forces? ____ Email Address__________________________
Full Flying Members Fill Next Section
PPL Number ________________ Ratings Held ________________________________________
Expiry Date Of Certificate of Experience __________ Medical Certificate expiry date___________
I have read the current Pilots Flying Order Book. ___________________(Signature)
I Hereby Apply For Membership Of Mona Flying Club In THE Following Category.
Full Flying Membership £120________ Student Pilot £60 _________ Passenger £30 ________
Full Flying Duty Pilot/Fuel Operative £60 ________ Temporary Membership £5 _________
Existing Flying Life-
Honorary ________ RAF / MOD Honorary _____________
I understand that Mona Flying Club is the name under witch Mona Aviation Limited trades. I wish to submit my membership application to the Committee of Management for consideration at the next Committee meeting, I enclose the sum of £______ in respect thereof.
Cheque's should be crossed and made payable to Mona Flying Club, and sent together with the completed application form to the club Secretary, address at bottom of page
I understand and accept that Mona Flying Club will store this information in an electronic database, under certain circumstances may be required to pass the details to official security organisations.
Dated this __________ day of ______________2016 Signed _________________________________
TO BE COMPLETED BY A PARENT OR GUARDIAN OF APPLICATION UNDER THE AGE OF EIGHTEEN
I __________________________ of ___________________________________ hereby declare that I am the parent or guardian of the applicant, and further declare that the application is made with my full consent.
PROVISIONAL MEMBERSHIP PENDING APPROVAL BY THE COMMITTEE OF MANAGEMENT.
On receipt of a completed application form and appropriate fee, the applicants details will be posted in the clubhouse and submitted to committee for consideration at the next meeting . In the interim the applicant can exercise the rights and privileges of the class of membership for which application has been made, If unsuccessful the application fee will be refunded after deducting one twelfth of the relevant fee to cover the period of temporary membership.
This form together with your membership fee should be sent to
Ron Kelsall, Tyn Rohs, Llanddona Anglesey. LL58 8YG