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