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Aviation Alberta Membership Form.
Please
- Print this form and fax or mail completed form to Aviation Alberta
- OR Copy this form to word and email completed form to Aviation Alberta
____________________________________________________________________
Aviation Alberta Membership Form
Application Date: __________________
Membership Choices (Please check the type of membership you require)
Student/Senior
Individual
Flying Club/Flying School
Association
Airport
Corporate/Airline: 1-10 Employees
11-25 Employees
26-50 Employees
51-150 Employees
151 + Employees
Select Group
Of the four groups within the association which group do you feel would best fit your needs. Please select one of the following
Aircraft/Airline Group
Airports Group
Aerospace Group
UVS Group
Contact Information
Business Name: __________________________________________
Main Contact: __________________________________________
Job Title/Position: __________________________________________
Address: __________________________________________
Phone: ________________
Alternate Phone: ________________
Fax: ________________
Email: ________________
Website: ________________
Membership Fees (Please note prices DO NOT include GST)
Student/Senior $30.00
Individual $50.00
Flying Club/Flying School $130.00
Association $250.00
Regional/Municipal/Private Airport $400.00
International Airport $2500.00
Corp. 1-10 Employees $250.00
Corp. 11-25 Employees $400.00
Corp. 26-50 Employees $600.00
Corp. 51-150 Employees $800.00
Corp. 150+ Employees $1,500.00
Cost of your selected membership type: $____________
Add 5% GST: $ ___________
Total: $ ___________
Method of Payment: (please check one)
Visa
MasterCard
AM/EX
Cheque
Money Order
Cheques or money orders
Please make payable to Aviation Alberta
Credit Card Payment:
Credit Card #: ________________________________
Expiry Date: ________/_________
Name on Card: ________________________________
Signature: ________________________________
Please print this form and fax or mail back to
Aviation Alberta
PO Box 53052 Edmonton, Alberta T5N 4A8 Fax: 780-756-2172
ATT: Czndhi Lou
Or copy this form and email the completed form to AvAB@shaw.ca