Please PRINT clearly.

Name: ______________________________________________________

Street: ______________________________________________________

Town & Zip: __________________________________________________

Home Phone: _________________________________________________

Work Phone: _________________________________________________

Email Address: _______________________________________________

Airplane (Please check all that apply)

I own ______ Type ______________________________  N____________

I rent ______

I am a Private Pilot _____ Student Pilot _____ Pinch Hitter _____

I give my permission to share my contact information (address, phone,

email, etc.) with other PAFT members. Please check the boxes below

for information that is  not  to be listed in the membership directory.

 Mailing address  Email address  Home phone  Work phone

I understand that I fly at my own risk and that the Princeton Airport

Flying Tigers club and Princeton Airport are not responsible in any

way for my activities.

Signature_________________________________ Date____________