This form is used for registration by NEW MEMBERS ONLY.
*FedEx ID: All * Items Required
*Status: Retired Pilot   Active Pilot   Flight Ops / Corp. Aviation  
*First Name:
*Last Name:
*Email:
*Password:
*Password (again):
*Date of Birth:        
Retirement Year: YYYY (If not retired, leave blank)
Spouse:
Address:
City:
State:
Zip: 5 digits
Home Phone: 123-456-7890
Mobile Phone: 123-456-7890
Privacy Choices: Allow website directory display of    Phone     Email     Address   
*Security Code:   Please enter 2019b