Membership Application

Want to become a member of the Granite State Sky Riders?  Simply fill out the information below, and we will gladly add you to our membership and email list.  It's free, so why not join?

      Name: 

       Email: 

Telephone: 

City/Town: 

       State:  Select a State                 Not Applicable Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Flordia Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Ratings (select all that apply):

   Sport Pilot PPC Land

   Sport Pilot PPC CFI

   Sport Pilot PPC Examiner (SPE)

   Sport Pilot PPC Instructor Examiner (SPIE)

   Sport Pilot PPC Designated Airworthiness Representative (DAR)

   Light Sport Repairman Maintenance (RM)

   Private Pilot

   None currently

   Other (please specify): 

PPC Make:       Model:  

Have a picture of you with your plane?  Send us something for the member section of the site (JPEG format only, please, and no larger than 750 KB):

Any other comments can go here: