STAFFORDSHIRE AERO CLUB

STAFFORDSHIRE AERO CLUB
MEMBERSHIP APPLICATION FORM
Walsall Road, Great Wyrley, Walsall, West Midlands, WS6 6DN or
Staffordshireaeroclub33@gmail.com . Bank details for transfers are sort code 20-93-15 account

93654702. Or on the site by Paypal
Member No: (for office use only)
Name

Forename Surname
Address:
Tel No:
Mobile No:
Email address:
example@example.com
Trainee pilot ?
CASH amount
CHEQUE amount
BACS amount
Staffordshire Aero Club holds its records on computer. Information is used only for club purposes and not released to third parties. If you wish to be removed from the club database please contact the Secretary.
Signature:

Clear
Date paid:

Month Day Year
Date
Should be Empty: