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membership form
VHA
MEMBERSHIP FORM
VHA Membership Application 2021
DATE OF APPLICATION
Name (Last)
Name (First)
Name (MI)
Mailing Address
City
State
Zipcode
Telephone
Telephone
Telephone
Email
Helicopter Pilot Status (check if applicable)
Student
Private
Commercial
ATP
CFI
CFII
Aircraft Owner?
Helicopter
Airplane
Other
Other Aviation Ratings
Other Skills that may be Valuable to VHA
Name of Closest Airport to Your Home
Would you be interested in serving as VHA...
President
Vice President
Secretary
Treasurer
Membership
Safety
Training
Webmaster
Other
Personal Information (optional)
Male
Female
Other
Age (optional)
Occupation/Retired
How did you first learn about the VHA?
Dues Payment ($40.00/year)
Cash
Check Number
Verified By
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