Contact Information

First Name *

Last Name *

Street Address *

Address Line 2

City *

State

Zip Code *

Phone Number *

Email Address *

How did you hear about us?

Briefly describe your aviation goals you would like to achieve at AIA:

ALL IN AVIATION MEMBER PRICING INFORMATION

Initial Membership $550 (first 6 months dues upfront and $250 Insurance Deposit)

BONUS CREDIT TOWARD DEPOSIT AMOUNT ON ACCOUNT WHEN A MEMBER

$3000+ 5% bonus | $6000+ 6% bonus | $9000+ 7% bonus

Member Information *

Government Issued ID *

Pilot Record

Pilot Certificates Now Held *

FAA Pilot Rating Now Held *

FAA Medical Certificate *

Pilot Certificate Number

Date of last biennial flight review (BFR)

Date of last instrument proficiency check (IPC)

Do you participate in FAA Proficiency Awards Program (WINGS)? *

As PIC or co-pilot, have you ever been involved in any aircraft accident or incident? *

As PIC or co-pilot, have you ever been found guilty of an FAA violation? *

Pilot Certificate *

Medical *