Membership Form

Family Name

Date of Birth (DD/MM/YYYY) *Required*

Name

Email Address

Phone Number

Address 1 *Required*

Address 2

City *Required*

Address 3

ZIP/Postal Code *Required*

Country *Required*

Profession (Former)

Your Interest's (e.g. Other aviation interests)

State/Province *Required*

Name of Club

Instructor Instructor Yes No

Gliders Owned

Inspector Inspector Yes No

Data Protection... The club records are held on a computer. Please tick the box if you do not object to your membership details being held on the VGC computer membership database. Data Protection... The club records are held on a computer. Please tick the box if you do not object to your membership details being held on the VGC computer membership database. *Required* I am happy for my details to be held on the VGC Computer.