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Midwest Flyer Magazine
PO Box 199
Oregon WI 53575-0199
MIDWEST FLYER MAGAZINE - NEW SUBSCRIPTION & RENEWAL ORDER FORM
simply complete and return the form below:
(X) PLEASE CHECK
___NEW SUBSCRIPTION or ___RENEWAL.
(X) PLEASE CHECK
___ $20 for one year.
Name__________________________________________________________
Address________________________________________________________
City_______________________________ State________ Zip_____________
Email Address ___________________________________________________
Own aircraft? YES____ NO____
If YES, please specify year and type:_________________________________
Highest Pilot Rating________________________
Highest Pilot Certificates
Please check all that apply
___Student Pilot
___Sport Pilot
___Recreational Pilot
___Private Pilot
___Commercial Pilot
___Airline Transport Pilot
___Flight Instructor
___Ground Instructor
Pilot Ratings
Please check all that apply
___Instrument
___Airplane
___Rotorcraft
___Glider
___Lighter-Than-Air
___Powered-Lift
___Powered Parachute
___Weight-Shift-Control Aircraf
Airplane Class Ratings
Please check all that apply
___Single-Engine Land
___Single-Engine Sea
___Multi-Engine Land
___Multi-Engine Sea
Rotorcraft Class Ratings
Please check all that apply
___Helicopter
___Gyroplane
Lighter-Than-Air Class Ratings
Please check all that apply
___Airship
___Balloon
Weight-Shift-Control Aircraft Class Ratings
Please check all that apply
___Land
___Sea
Powered Parachute Class Ratings
Please check all that apply
___Land
___Sea
Aircraft Type Ratings
Please check all that apply
___Large Aircraft, Other Than Lighter-Than-Air
___Turbojet-Powered Airplanes
Other (Please Specify): ________________________________________
Pilot Endorsements
Please check all that apply
___Complex Gear
___High Performance
___High Altitude
___Tail-wheel
Other (Please Specify): ________________________________________
Total Time PIC _____________
PO Box 199
Oregon WI 53575-0199
MIDWEST FLYER MAGAZINE - NEW SUBSCRIPTION & RENEWAL ORDER FORM
simply complete and return the form below:
(X) PLEASE CHECK
___NEW SUBSCRIPTION or ___RENEWAL.
(X) PLEASE CHECK
___ $20 for one year.
Name__________________________________________________________
Address________________________________________________________
City_______________________________ State________ Zip_____________
Email Address ___________________________________________________
Own aircraft? YES____ NO____
If YES, please specify year and type:_________________________________
Highest Pilot Rating________________________
Highest Pilot Certificates
Please check all that apply
___Student Pilot
___Sport Pilot
___Recreational Pilot
___Private Pilot
___Commercial Pilot
___Airline Transport Pilot
___Flight Instructor
___Ground Instructor
Pilot Ratings
Please check all that apply
___Instrument
___Airplane
___Rotorcraft
___Glider
___Lighter-Than-Air
___Powered-Lift
___Powered Parachute
___Weight-Shift-Control Aircraf
Airplane Class Ratings
Please check all that apply
___Single-Engine Land
___Single-Engine Sea
___Multi-Engine Land
___Multi-Engine Sea
Rotorcraft Class Ratings
Please check all that apply
___Helicopter
___Gyroplane
Lighter-Than-Air Class Ratings
Please check all that apply
___Airship
___Balloon
Weight-Shift-Control Aircraft Class Ratings
Please check all that apply
___Land
___Sea
Powered Parachute Class Ratings
Please check all that apply
___Land
___Sea
Aircraft Type Ratings
Please check all that apply
___Large Aircraft, Other Than Lighter-Than-Air
___Turbojet-Powered Airplanes
Other (Please Specify): ________________________________________
Pilot Endorsements
Please check all that apply
___Complex Gear
___High Performance
___High Altitude
___Tail-wheel
Other (Please Specify): ________________________________________
Total Time PIC _____________