Auxiliary Wing Application

Auxiliary Wing (AW) Application

First name

Middle Initial

Last name

Street Address

Street Address Line 2 (optional)

City

Region/State/Province

Postal/Zip code

Country

Phone number, including area code

Birthday (must be age 75-79)

Month

Day

Year

I still fly regularly

Yes

Aircraft type

Skills & Experience to Share

Please tell us what skill(s) or experience you have that might be of value to the organization.

Referred by

I certify that I (a) have completed the applicable requirements for a Pilot's Certificate issued by the Federal Aviation Administration or an equivalent foreign agency, (b) hold or have held an FAA Pilot Certificate or foreign equivalent for a fixed-wing, rotary-wing, sport, balloon or glider aircraft, and (c) have exercised the privilege as a pilot in command of such an aircraft after reaching the age of 75. I hereby agree to abide by the Charter and Bylaws of the United Flying Octogenarians.

The initial $80 membership fee includes:

One AW cap (red only)
One AW UFO button
One AW patch
AW Membership certificate

Please check the box below indicating that (a) you wish to purchase a new Auxiliary Wing membership, and (b) you understand that membership in the Auxiliary Wing terminates on the pilot's 80th birthday.

Initial Auxiliary Wing membership fee$80

Where the History of Aviation is Still Flying

Auxiliary Wing (AW) Application

Age 75-79

Initial Membership Dues package is $80

Dues renew annually one year from the month you join