Cincinnati Soaring Society
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| Name: _____________________________ Address:______________________________ |
| City: ______________________________ State: _______ Zip: ____________________ |
| Phone (work/cell): ____________________ Phone (home): _______________________ |
| AMA Number (2007 AMA Membership is required): _______________________________ |
| League Of Silent Flight & Level (if applicable): __________________________________ |
| Interests (Check applicable) Soaring: ____
Electric: ____ Competition: ____ Sport/Fun: ____ Indoor: ____ FAI: ____ Flight Instructor: ____ |
| Personal Skill Level (Check One) Expert: ____ Sportsman: ____ Novice: ____ |
| Primary Radio Frequencies (72mHz) ____ , ____ , ____ , ____ Spread Spectrum? Y / N |
| Primary Planes Flown: _____________________________________________________ |
| ________________________________________________________________________ |
| Name Of Wife or Significant Other: ___________________________________________ |
| E-Mail Address (if available): ________________________________________________ |
| In what areas of the club would you be interested in becoming involved? ___________ |
| ________________________________________________________________________ |
| How can Cincinnati Soaring Society help you?:_________________________________ |
| ________________________________________________________________________ |
| Signature: _______________________________________________________________ |
| Please print this form, a photo copy of your 2007 AMA membership card and return it with a check or money order payable to Cincinnati Soaring Society to: |
| Mr. John Measamer 8780 Weller Station Cincinnati, OH 45249 |
Page last updated November 23, 2006. Send Comments to any of the CSS Officers