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ALL NEW OR RENEWAL MEMBERSHIPS
Membership and Release of Liability
Forms must be completed by all applicants. |
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Member Informaton
(Application) Form, Rev. 2008-2009 Season
(Application for Membership) (required) |
PDF
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print copy |
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Release of Liability Form
(required) |
PDF |
print copy |
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Include a check for $35, single, or $45, family & Mail.
See Note below about the
advantage of
Family Memberships. |
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Contact the
coordinator of your Specialty -- Specialty
Coordinators --and introduce yourself. Our Coordinators
are volunteers and may not have noticed your name appearing on the
membership list. |
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| LICENSED
PROFESSIONALS |
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Professional
Resume' (CV) (required - in
addition to Member Info & waiver) |
On-line |
submit |
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Current Professional License (U.S.mail - in addition to Member Info,
check & Waiver) |
Mail copy with application
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| LICENSED
PILOTS |
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Pilot and Aircraft Information Form
(required - in addition to Member Info)
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
PILOT
ACKNOWLEDGEMENT - (required to act as PIC on Sam's trips |
On-line
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submit ~~~~~~~~~~
Mail copy |
| OPTIONAL |
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Name Badge Order Form (optional) |
On-line |
print copy |
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Sams Logo Items Order Form (optional) |
On-Line |
print copy |
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FAMILY
MEMBERSHIPS |
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Become a Flying Samaritan Family.
For just one (1) ten dollar bill ($10) you can add all
of your family members who reside within your household to your Flying
Samaritans membership. By doing this you will not only help
financially support our Chapter, but you will also be ready when one of
those special trips come along where you would like to include your
family members. Add your family members names to the
Membership Information form and write your check for $45 instead of $35.
DO IT TODAY ! |
FlyingSamaritans
