Membership Checkout - The Ninety Nines

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Membership Information

You have selected the Pilots LifeTime age 23 - 27 Membership membership level.

Interested in joining our organization? Find out more about membership in The Ninety-Nines.

The price for membership is $2,353.00 now.

Account Information

Username

Password

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Email Address

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Member Information

NOTAM: Updates to this form are not automatic. Information is transmitted to Headquarters for updating and will reflect on the next directory upload. Uploads to the directory are made at least once a week.

Title/Prefix:

First Name:

Last Name:

Middle Name:

Preferred/Nickname:

Address:

Address 2:

City:

State:

Postal/ZIP Code:

Country:

Temp Address:

Temp Address 2:

Temp City:

Temp State:

Temp Postal Code:

Temp Country:

Phone:

Airport ID:

If Previously a Member, Under What Name?:

Grade of Certificate or License:

If Military, Enter Branch of Service:

Ratings:

Airman Certificate or License Number:

(If you don't have one, enter "n/a" or "pending".)

Country of Issue:

Date of Issue:

Previous Name:

Vocation:

Section:

Chapter:

The 99s Magazine is available online, so I do not want to receive a paper copy.

Yes

In the future, please send me renewal forms via email:

Yes

Would you like to receive your renewal via email (versus physical mail)?

Yes

Upload Files:

Government Issued ID:

(JPG or PDF; Passport, Driver's License, etc. showing Gender as female)

Copy of Pilot License:

(JPG or PDF)

Membership Resource Database Information

Our strength is in our membership. Our talents are many. Please check the areas you are able to assist in an advisory and/or hand-on capacity, if none are listed or if you would like to add additional areas:

Areas:

Member Resource Database Information:

Our strength is in our membership. Our talents are many. Please select the appropriate talents to let us know which areas you're able to assist in an advisory and/or hands-on capacity.

Talent:

Degrees:

AEMSF Recipient

#1 Date Received:

#1 Type of Scholarship:

#2 Date Received:

#2 Type of Scholarship:

Elective/Committee Positions Currently Held

Section Position(s):

International Position(s):

Chapter Position(s):

Positions Held in Past

Section Position(s):

International Position(s):

Chapter Position(s):

Ratings

Hours:

Certificate Type:

Ratings:

Newest Rating:

Rating Date:

Flight Instructor Ratings:

Ground Instructor Ratings:

FAA Flight Examiner Ratings:

Billing Address

First Name

Last Name

Address 1

Address 2

City

State

Postal Code

Country

Phone

Payment Information

Card Number

Expiration Date

Security Code (CVC)