New Zealand Women in Aviation Home Page

NZAWA Membership Application
Family Name:
First Names:
Address:
Postal Address : (if different)
Contact Numbers
Work:
Home:
Cellphone:
Fax:
Email address:
Any other information or questions:
What area of aviation are you involved with?
Recreational:
Professional:
Qualifications and Ratings
Aviation Qualifications held:
Date gained:
Ratings held:
Date gained:
Hours Logged
Total Hours logged:
PIC:
Hours logged in last calendar year:
PIC:
Additional Information
Which club, school or organisation do you fly at?
Please list other aviation memberships or interests you have:
Optional Personal Details
Occupation:
Date of Birth:
Describe any special skills which you would be prepared to share with the NZAWA for the benefit of the organisation:

By submitting this form, I acknowledge that the association is in no way responsible to me. In accordance with the Privacy Act 1993, I consent to the collection of the details on this form by the New Zealand Association of Women in Aviation (Inc) for the purposes of association membership records, statistical analysis, research and for it to be retained in the NZAWA history files. I acknowledge my right to access and correction of this information