Maryland Hang Gliding Association

Membership Application 2011

 Please print this page.  Don’t forget to fill in your USHGA expiration date. Make your check payable to “MHGA” and return it to the address below.  Thank you.

Name: _______________________________________________

Address: _____________________________________________

City, State, Zip: _______________________________________

USHGA Number: __________________

USHGA Expiration Date: ____________

Home Phone: ______________________

Work Phone: ______________________

Email: _______________________________________

Emergency Contact: ________________________________________________________

MHGA Only Membership $25.00

MHGA Flying Membership (includes Pulpit sticker) $40.00

Joint MHGA\CHGPA Membership (includes Pulpit sticker) $55.00

Pulpit sticker only $15.00

(Pulpit memberships include flying privileges at Bill’s Hill, Fisher Rd. and The Pulpit)

Send to: MHGA

703 Brickston Rd.

Reisterstown, MD 21136