Information Form

Membership

Annual subscription to join the Australian Women Pilots’ Association is:

Please fill out the form below to register your interest in becoming a member.

Application Forms /Further Information

If you require any further information or application forms for our scholarships or awards please fill in only the Personal and Further Information sections of the form.

Personal and Information Details

*(denotes required field)

First Name: *

Last Name: *

E-Mail Address: *

E-Mail Address again: *

Please enter your E-mail Address a second time.

Phone Number: *

Fax Number:

Reason for filling in form: *

Membership
Scholarships and Awards
Other - specify it in additional comments field (below)

Licence Details:

Fixed Wing
Helicopter
Ultra Light
Gliding
Balloon
Other - specify it in Comments field (below)

Licence Type:

Student
GFPT
Private
Commercial
ATPL
Other - specify it in Comments field (below)

Licence Ratings:

Instrument (single)
Instrument (twin)
Intructor
Other - specify it in Comments field (below)

Licence Number:

Number of Years Flying:

Comments:

Additional Comments:

Please enter any further information you require:

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