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Air Charter Safety Foundation Membership Application

 
Section 1: User Information
Company*
  
First Name*
  
Middle Initial
  
Last Name*
  
Position Title*
  
Mailing Address*
  
City*
  
State*
  
Zip Code*
  
Country
  
Work Phone*
  
Mobile Phone
  
E-mail*
  
User Name*
  
Password*
confirm password 		 
 
Section 2: Membership Information
Referred By Air Charter Safety Foundation Member
Referred by Other
  
Corporate Membership ID   n/a
 
 
Section 3: Membership Type
Membership Type*
 $1,000.00 - Regular Member Category I: Fleet Size 1-2 Aircraft. Part 135, 91(K), or aircraft management companies.
$1,750.00 - Regular Member Category I: Fleet Size 3-6 Aircraft. Part 135, 91(K), or aircraft management companies.
$2,500.00 - Regular Member Category I: Fleet Size 7-14 Aircraft. Part 135, 91(K), or aircraft management companies.
$5,000.00 - Regular Member Category I: Fleet Size 15-49 Aircraft. Part 135, 91(K), or aircraft management companies.
$10,000.00 - Regular Member Category I: Fleet Size 50 + Aircraft. Part 135, 91(K), or aircraft management companies.
$5,000.00 - Regular Member Category II: Annual Revenue up to $1 Million. Broker, card program manager, and others.
$15,000.00 - Regular Member Category II: Annual Revenue $20+ Million. Broker, card program manager, and others.
$2,500.00 - Associate Member
$1,000.00 - Affiliate Member
 
 
Section 4: Payment
Payment Method*
    Credit card
    Check
 
 
Section 5: Subscribe to Groups
Subscribe to groups
ACSF News and Information
Press Releases
Upcoming ACSF Events
 
 

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