THE MICROLIGHT AND LIGHT SPORT AEROPLANE ASSOCIATION OF SOUTH AFRICA (MISASA).
MISASA IS A SUB-SECTION OF THE AERO CLUB OF SOUTH AFRICA
Application for Membership of the Aero Club of South Africa
and to MISASA: R500 per annum effective 1 January.
Please supply us with your details. Your application will not be successful without proof of payment attached to a fully completed form.
First Name:
Surname:
Type of application:
Membership Number:
(Please state if a New Application OR if a renewal please provide us with your AERO CLUB No)
Date of Application:
Flying Club, School or Airfield:
Pilot License No:
Pilots' License Type(s):
Aircraft Type(s):
Aircraft Registion Numbers:
ID Number:
Postal Address for the Magazine:
Postal code:
E-mail Address:
Home Tel no:
Work Tel no:
Fax no:
Cellular no:
Next of Kin & Tel:
Please use your Name and Membership number on your EFT reference or bank deposit slip reference when making payment to:
MISASA BANK ACCOUNT DETAILS
BANK: STANDARD BANK - Branch: Springs:
Branch Code no. 01-21-42
Account Number: 421952326
PLEASE Fax this Application form together with your payment slip to:
Brett Hickman c/o: 0866 106 963 Alternatively eMail it to Brett Hickman at:
brett.hickman@standardbank.co.za