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AOPA

Dr. Koos Marais
0722005973 | 0128090038
kosie@iburst.co.za

Suite 20 Private Bag X30
Lynnwood Ridge 0040
Pretoria South Africa


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Join now!
 
Please complete this form and pay your membership dues. Bank ABSA Account number 20163909 Branch Code 632005. Then send us proof of payment to kosie@iburst.co.za or fax 0866340322 and you will become an AOPA member. For your Crew Card we also ask that you send us a passport photograph, preferably in bitmap format.
 
  Please complete the fields below:
     
  Surname
  First Names
  ID Number
  Postal Address
  Home phone number
  Work phone number
  Fax number
  Cell number
  e-mail
  Company name
  Occupation
  Date
     
  Please check your pilot's licence and rating details below
     
  Aeroplane
  Helicopter
  Private
  Commercial
  Airline
  Night
  Instrument
  Instructor grade 3
  Instructor grade 2
  Instructor grade 1
  Student
  Single engine
  Multi-engine
  Land
  Sea
  Expired
     
  Base airport:
 
   
  Pilot's licence number
 
   
  Most frequented airport or base
 
   
  Where did you hear about AOPA?
     
  Internet
  SA Flyer
  World Air News
  African Pilot
  Friend
  Instructor
   
 
 
Please calculate the following and enter the answer below: 1 x three + 2 + 9 = ?  
 




       
   
       

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