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Feedback for Your Benefit

Everyone hates forms, but they really do provide us with a great way to get your input. We sincerely want to make this web site and Chapter 1031 as helpful to you as we can. But, we don't know how to address your concerns if you don't help us. Please take a few moments to complete this Registration form and Member Survey.

Keep in mind that this is just for Chapter and web-site improvements. All information is optional and is only going to be seen by Chapter 1031 officers. You may receive a warning from your browser after clicking the "Send Registration" button at the bottom. Don't worry - the only "sensitive" information is your email address and phone number. But, if you are particularly suspicious of any potential internet problems just make a printed copy and mail it to the newsletter editor or bring it to the next meeting.

Information / Registration Form
First Name: Init:
Last Name:
Address:
City: State: Zip:
Country: Phone:
eMail Address:
Member EAA? Yes    No    If Yes enter ID#:
Member Chapter 1031? Yes    No     If No what Chapter ?
Type of license held: Student
Recreational
Private
Commercial
Military
CFI		 Ratings held: Single engine
Multi-engine
Tailwheel
Seaplane
Helicopter
Glider
Balloon
IFR
Are you working on an aircraft project currently? Yes    No
If Yes please enter a description:
What aircraft do you fly regularly?
Comments?:
Add me to the Chapter e-mailing list? Yes    No
Add me to the monthly Fly-out e-mailing list? Yes    No