Members Application - The Ninety Nines

Name

Preferred/Nickname

Address

Address2

City

State/Province

Country

Postal Code

Email

Password

Eight characters minimum One lowercase letter One uppercase letter One number One special character

Confirm Password

Phone

Airport ID Most Frequently Used:

If previously a member, under what name?

Vocation:

College or University:

Name

Address2

City

State/Province

Country

Number

Postal Code

Our strength is in our membership and our talents are many. Please mark any areas in which you are able to assist in an advisory and/or hands-on capacity.

Chapter/Section Information (Chapter association is required for U.S./Canadian Student Pilot Memberships)

Chapter Name:

Section Name:

Need help locating your local 99s chapter or section? Email 99s@ninety-nines.org or call 1-844-994-1929.
If in doubt, leave this section blank.

I would like to vote electronically in the elections:

YES

NO

If you do not wish to vote electronically, please mark through YES and place a check mark in the NO box.

Grade of Certificate or License:

Ratings:

Airman Certificate or License #

Country of Issue

Date of Issue (mm/dd/yyyy)

Type of Membership:

Ninety-Nines: A woman who holds a Recreational, Sport, or higher grade pilot certificate or is a rated military pilot in similar aircraft or holds equivalent pilot certificates and ratings issued by the appropriate government authority.

Student Pilot: A woman who holds a student pilot certificate or equivalent pilot certificate issued by the appropriate government authority.

I would like to become a Life Member of The Ninety-Nines

Ninety-Nine:

US Membership Dues $65.00

Canadian Membership Dues $57.00

Overseas Membership Dues $44.00

Student Pilot:

US/Canadian Membership Dues $35.00

Overseas Membership Dues $30.00

Date of birth (mm/dd/yyyy):

Age

Life Time Price (age 17-22)

Life Time Price (age 23-27)

Life Time Price (age 28-32)

Life Time Price (age 33-37)

Life Time Price (age 38-42)

Life Time Price (age 43-47)

Life Time Price (age 48-52)

Life Time Price (age 53-57)

Life Time Price (age 58-62)

Life Time Price (age 63-67)

Life Time Price (age 68-72)

Life Time Price (age 73-77)

Life Time Price (age 78-82)

Life Time Price (age 83-87)

Life Time Price (age 88+)

Price

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