Membership Form

Name

Family Name

Email Address

Phone Number

Address 1 *Required*

Address 2

Address 3

City *Required*

State/Province *Required*

ZIP/Postal Code *Required*

Country *Required*

Your Interest's (e.g. Other aviation interests)

Name of Club

Gliders Owned

Instructor Instructor Yes No

Inspector Inspector Yes No

Data Protection... The club records are held on a computer. Please tick the box if you do not object to your membership details being held on the VGC computer membership database. Data Protection... The club records are held on a computer. Please tick the box if you do not object to your membership details being held on the VGC computer membership database. *Required* I am happy for my details to be held on the VGC Computer.