Mona Flying Club Membership Renewal

  Surname ___________________________ Forenames__________________________________

   Address ________________________________________________________________________

   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-Member £60 ________                         RAF Serving Member £60 __________

    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         


 

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