New Member Application

Name *

First

Last

Email *

Phone Number *

This is my: *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Membership Type *

MAAC Membership Number *

MAAC Membership is required to fly at the PDQ Flyers field. Social (non-flying) members may enter 99999 as their MAAC number.

Flight Interests *

Flight Experience *

Field/Club Orientation Preference (check any that apply) *

Flight Test *

Membership Fees *

Total

$ 0.00

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