Aldinga Aero Club

Aldinga, South Australia

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Name

First Last

MEMBERSHIP GRADE REQUESTED

Residential Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

POSTAL ADDRESS (If different)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Email

Proposed by (Financial Member)

Seconded By (Financial Member)

Applicant Signature

If my application is accepted by the Committee, I agree to abide by the Constitution and By-Laws of the Aldinga Aero Club Inc. at all times.