Step Up Aviation Membership Application (Under construction, please do not use)

To join Step Up Aviation, simply fill out this form with the required information. We will call you to get your credit card information. On your first visit, please bring copies of your driver's license, passport or original birth certificate. If applicable, also bring your pilot certificate, medical and logbook with all endorsements.

First Name:

Last Name:

Name you go by:

How did you find us?:

Phone:

Email:

Additional contact information

Street Address

City

State

Zip

Date of Birth

Driver's license or ID?

Driver's License State ID

Driver's license or ID number

Driver's License State

Emergency Contact name

Emergency Contact Street Address

Emergency Contact City

Emergency Contact State

Emergency Contact Zip

Emergency Contact Phone

Membership Info

Pilot Information

Signature

I certify that all statements made on this form are true and correct to the best of my knowledge and that any findings to the contrary may cause my membership to be revoked. I also certify that I will abide by the rules, procedures and policies set forth by Step Up Aviation and that failure to do so my result in the revokation of my membership.

Type your full name here as your signature