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SFC Membership Application

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piterski007
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9 views2 pages

SFC Membership Application

Uploaded by

piterski007
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Squamish Flying Club – Membership Application

Membership class applied for:

Regular Member Associate Member Junior Member Corporate Member

PERSONAL INFORMATION

2021-01-24
Date _________________
Guay, Pier-Christophe
Name ______________________________ ___________________________ (LAST, FIRST or Corp.)

6510 balsam way


Address ______________________________________________________________________

City ____________________________
Whistler Province __________________
BC Postal Code _______________
418-671-3978
Phone __________________________ [email protected]
E-Mail _____________________________________

Phone (Alt) __________________________ Occupation _________________________________


Heavy machines operator
Paci c Time
Time at current residence: _______________________________________
Mark Tremblay
Emergency Contact ______________________________________ 604-880-6741
Phone ________________________

FLYING INFORMATION

924057
Pilot Licence # __________________ 3
Medical Category:_________________

Please highlight or circle the following Licences & Ratings you hold:

Recreational Private Commercial Instructor ATR

Multi Night Instrument Aerobatics Float

Mountain Instruction: Yes No

Cessna 172 Registration: __________________


Owned Aircraft Type:________________ C-FECS

SFC MEMBER REFERENCE (For Regular Membership):

Sponsor’s Name: ______________________________________ SFC member for (___) years

How long have you known the applicant? _______________________________________

Phone: ____-____-______ Email Address: _______________________________________


fi
SFC Executive Use: Membership review date: __________________________

Accepted / Declined Application fee received date: __________________________

Notes: _________________________________________________________________________

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