YOU ARE NOW TAKING THE FIRST EXCITING STEP ON BECOMING A
MEMBER IN ONE OF THE FIRST AND MOST SUCCESSFUL FLYING CLUBS IN
THE STATE OF FLORIDA.
Initiation Fee: $400 for pilots, $300 for student pilots
Monthly dues are $50 or $550 per year (if paid annually)
 
YOU MUST ATTEND A GENERAL MEMBERSHIP OR BOARD MEETING WITHIN
THE FIRST TWO MONTHS OF JOINING THE CLUB!
 
Your Membership will begin after board approval and attending orientiation
 
FAA PILOT CERTIFICATES HELD
 Check all that apply
Student
Private
Commercial
ATP
Flight Instructor
 *
Answer
YesNo
As pilot-in-command or as co-pilot have you ever had any violations or actions against your pilot certificate?
As pilot-in-command or as co-pilot have you ever been involved in an aircraft accident or incident involving damage to aircraft, reportable or not?
Has your driver’s license ever been suspended or revoked?
Have you ever been arrested or convicted of operating an automobile, aircraft, or watercraft
while under the influence of alcohol or drugs?
Have you had any automobile accidents in the last five years?
Have you ever had an aircraft claim, incident or accident?
Have you ever been cited or fined for violation of an aviation regulation?
Has your pilot certificate ever been suspended or revoked?
Have you ever been convicted of a felony or are you under indictment for a felony?
Have you ever been convicted of driving a motor vehicle under the influence of alcohol or narcotics, or of reckless driving?
Has your drivers license ever been suspended or revoked?
Have you ever been convicted of or are you under indictment in a legal action involving drugs or narcotics?
Have you ever had or been treated for a chemical dependency?




The Fort Myers Flying Club upon approval will extend the member a $1000 credit line. Credit worthiness will be checked by submitting this application. You are here by authorizing the Fort Myers Flying Club to obtain a credit report to be used as part of the application process. *
clear
Please mail your initiation check to:

Fort Myers Flying Club

PO BOX 61197

Fort Myers, FL 33906

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