Schofields Flying Club Ltd …

                            Schofields Flying Club Ltd
                              MEMBERSHIP APPLICATION
FLYING MEMBER / ASSOCIATE MEMBER / OUTSTATION MEMBER / JUNIOR FLYER
                                         (Please circle membership type)



                                                      PERSONAL PARTICULARS

Family Name:                                    Given Names:

Address:

                                                                                                   Postcode:

Home Phone:                                     Work Phone:                                       Mobile Phone:

Email Address:

Date of Birth:                                  Occupation:


                                                  FLYING HISTORY / MARKETING

Do you hold a Pilot Licence?        No ( ) Yes ( )
                                                                           Please help us with our Marketing -
If licence held then please indicate:                                      1. How did you hear about us?
TYPE:                  SPL / GFPT / PPL / CPL / ATPL                          Yellow Pages / Australian Flying / Other (please specify)
ARN:
AFR due:                                                                   2. Why did you choose Schofields Flying Club?
Medical due:
Endorsements:                                                              3. What licence / rating do you aim to achieve?
                                                                              GFPT / PPL / CPL / NVFR / PIFR / CIR / FIR / MULTI




                                                        NEXT OF KIN DETAILS

Name:                                   Relationship:                          Phone:                               Mobile:

Address:


                                                             DECLARATION

I, the undersigned, agree to be bound by the conditions and                     If under eighteen, a parent or guardian must sign below:
undertakings on the reverse of this application and hereby apply for
                                                                                The undersigned, being the parent or guardian of the said nominee,
membership of Schofields Flying Club Limited:                                   hereby consents and confirms the terms of the above agreement and in
                                                                                consideration of the Club acceptance of the said application I hereby
Signed:                                                 Date:                   guarantee the due performance of the obligation and conditions imposed
                                                                                upon the said nominee by virtue of their application as a member and I
                                                                                agree to be bound by the conditions and undertakings overleaf.
Proposer:                                      Member No:

Seconder:                                      Member No:                       Signed:                                    Date:



                                                   CONFIRMATION OF IDENTITY

Photo ID Sighted: DRIVER'S LICENCE / PASSPORT / ASIC / OTHER (specify)                                        Checked by:
                                                                                                                                              ljy 100208




            LOCATION: 60 Birch Street, Bankstown Airport NSW Australia 2200 POSTAL: PO Box 200, Georges Hall NSW 2198
          PHONE: 02-9709-8488 FAX: 02-9707-1045 EMAIL: mail@schofields-flying-club.com.au WEBSITE: www.schofields-flying-club.com.au
                                                 CONDITIONS

          The applicant agrees to be bound by the provisions of the
          Memorandum and Articles of the Club and by the Rules,
          Regulations and By-laws from time to time prescribed by the
          Board of Directors.

          The applicant agrees to be subject to and obey the instructions,
          directions an orders of the Club's Directors and other Officials
          and at all times the provisions of the Civil Aviation Act (1988)
          and all regulations thereunder for the time being in force.

          The applicant agrees and undertakes for himself/herself and
          his/her executors administrators and assigns in consideration of
          the Club admitting him/her as a members not to claim sue for or
          recover against the Schofields Flying Club Limited or its
          officials, agents or employees, or any of them for or in respect of
          any injury loss or damage suffered or incurred by him/her
          (whether resulting in his/her death or not) whilst being
          concerned in any activity (whether flying on non-flying)
          connected with the Club and this undertaking will be pleaded as
          a bar or estoppel in any such action which he/she or his/her
          executors administrators or assigns may take as aforesaid.

          The applicant acknowledges that the Club may at any time
          without assigning any reason, refuse to instruct him/her or to
          permit him/her to fly the Club's aircraft and on such refusal the
          Club shall not be bound to refund to him/her any entrance fees,
          subscriptions or other fees paid by him/her.


                                         MEMBERSHIP RATES
          Ab initio                                         free                            for first year
          Flying                                            $175                            each year
          Outstation                                        $50                             each year
          Associate & Junior Flyer                          $30                             each year
          Joining fee                                       $55 additional                  once only
          Printed Newsletter                                $20 additional                  each year
          (e-mail version is free)



  LOCATION: 60 Birch Street, Bankstown Airport NSW Australia 2200 POSTAL: PO Box 200, Georges Hall NSW 2198
PHONE: 02-9709-8488 FAX: 02-9707-1045 EMAIL: mail@schofields-flying-club.com.au WEBSITE: www.schofields-flying-club.com.au