QRAA / WAC Online Membership Application

Membership Application

Please fill in all the fields below and send your membership payment remittance to qraawarwick@gmail.com

Name*
Given Name Surname
Nominated Family Member (free)
Given Name Surname
Address*
Street Address Address Line 2 City State ZIP / Postal Code
Phone*
Mobile*
Email*
Please give us some details:
Are you a current GA or RP Pilot?*
- Yes
- No
If yes, please fill in the below.
Do you own a GA or Recreational Aircraft?*
- Yes
- No
If yes, please fill in the below.
Aircraft Type
Rego Details
Aircraft Type
Rego Details
Payment Information
Cheques are to be made payable to ‘Queensland Recreational Aircraft Assoc Inc’.

Bank Details
Warwick Credit Union, QRAA
BSB: 817-001
Acc: 400 390 390

Please include your name on the payment and email us a copy of your remittance as soon as possible.
Payment Method*
- Cheque
- Cash
- Direct Deposit
Confirmation*
- I hereby agree to follow all rules, laws, acts as set down by the RAA and relevant aviation authorities that govern aviation in Australia. I agree to not hold any QRAA committee member or QRAA member responsible in the event of an accident or incident. I understand that aviation can be a dangerous activity.
  
  I have paid my membership fee via: Cheque, Cash or Direct Deposit (remittance to be emailed) my name is outlined on the direct deposit statement.
Signature
Date*
Date Format: MM slash DD slash YYYY
Name
This field is for validation purposes and should be left unchanged.

$50.00 July to Sept
$40.00 – Oct to Dec
$30.00 – Jan to Mar
$20.00 – April to June

Payment by cash, cheque or direct deposit.

Cheques are to be made payable to ‘Queensland Recreational Aircraft Assoc Inc’.

Bank Details
Warwick Credit Union, QRAA
BSB: 817-001
Acc: 400 390 390

Please include your name on the payment and email us a copy of your remittance as soon as possible.

NOTE:

New member applications will be considered at the next meeting of the QRAA committee.