Direct Debit

Price:

Free

First Name:* First Name Required

Last Name:* Last Name Required

Additional applicant(s) for Family Membership: Additional applicant(s) for Family Membership is not valid

House number/name:* House number/name is Required

Street:* Street is Required

Town/City:* Town/City is Required

County (UK only):* County (UK only) is Required

Country:* Country is Required

Postcode:* Postcode is Required

Home telephone: Home telephone is not valid

Mobile: Mobile is not valid

Date of birth: Date of birth is not valid

Occupation: Occupation is not valid

Licence:* Licence is Required

LAPL PPL CPL ATPL FI Other

If (Licence) other selected, this MUST be filled in: If (Licence) other selected, this MUST be filled in is not valid

Flying:* Flying is Required

Aeroplane Glider Microlight Helicopter Balloon Other

If (Flying) other selected, this MUST be filled in: If (Flying) other selected, this MUST be filled in is not valid

Would you like to receive occasional news updates via email? This will usually be around one email a fortnight. You can opt out at any time.:* Would you like to receive occasional news updates via email? This will usually be around one email a fortnight. You can opt out at any time. is Required

Yes No

Would you like to join your local Regional Group?: Would you like to join your local Regional Group? is not valid