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NOTE: FIELDS IN RED ARE REQUIRED INFORMATION

  
Last Name:
    		First Name:
   
Email Address:
   
Confirm Email Address  
   
Which base would you like to fly out of?
   
What Flight Sim Do you use?
   
Age:
   
Hometown, State, Country:
   
Previous experience?
    Yes No
If Yes, do you wish to transfer hours and how many?
   
Other Comments: