Silent Knights, Inc. Membership Application
Ames Municipal Airport, Ames,
Iowa
Name:__________________________________________
(last) (first) (M.I.)
Mailing
Address:___________________________________
(City)_________________,
(State)______, (ZIP)_____-_____
Email:___________________________________
Tel: (home)__________ (office) _________
(mobile)____________
Employer:________________
Occupation:___________________
Emergency
contact:______________, ________ __________
(name) (relat.) (phone)
Soaring Society of America membership
#:______________________
(membership in SSA is required before exercising
flight privileges)
FAA pilot license grade and # (if any)
_________________________
Biennial: (date)___________
Physical: (grade & date) ____________
Membership applied for:
___ active ($500 and $25/mo. dues)
___ time-pay active ($100, $10/mo. and $25/mo.
dues)
___ high-school, college student ($144, no dues
first year)
___ associate ($5/year, no flight privileges; may
serve as tow pilot)
___ family (free for children under 18 or spouses
of active members)
I agree to help with club activities whenever I
can because I understand that the Silent Knights glider club only functions
with the participation of its members.
I also agree to waive any claims I may ever have against the Silent
Knights, its officers, and members for any act of negligence. I agree to pay my account in full each month
and understand that flying privileges are suspended if an overdue balance
exceeds $50, unless the Treasurer agrees.
I agree to read and comply with the club by-laws, the standard operation
procedures, the Code of Federal Regulations as well as other applicable state
and local laws.
__________________________ ___________________
Signature Date
__________________________ _________ _____
Approved
by Club
officer Date
Please attach a check payable to Silent Knights,
Inc. and either give to a club officer or mail to the treasurer, Darin Sanders,
412 Teagarden, Ames, IA 50010.
Silent Knights, Inc.
2010 Club Officers
Darrel
Mullins, President 515-490-6779
Paul
Kaufmann, V-P 515-291-3085
Darin
Sanders, Treasurer 515-988-3092
Jay
Newell, Secretary 515-460-6224
Paul
McIlrath, Dir. of Equip 515-202-8548
Harry
Davis, Dir. of Ops 515-988-1931
2009 Instructors Paul
Kaufmann (chief, FAA Examiner) 515-291-3085
Michael
Burns 515-279-6478
Tom
Burns 563-299-5942
Harry
Davis 515-988-1931
Matt
Michael 515-451-1068
Darrel
Mullins 515-490-6779
2010 Tow
Pilots Darin
Sanders (chief) 515-988-3092
Diane
Bassham 515-451-9549 Tom Burns 563-299-5942
Travis
Gregory 515-451-4608 Terry Lankford 515-450-1466
Darrel
Mullins 515-490-6779 Matthew Sawhill 515-491-5311
Gary
Snider 515-321-8400
Reimbursement
Rates (subject to change)
Blanik
L-13: $8/flight 2-22:
$5/flight
Tows: $1.60/100 feet
___________________________________________________
Silent Knights, Inc. Resignation Request
I hearby request to terminate my membership in
Silent Knights, Inc. I understand that
membership termination does not relieve me of responsibility for past-due
payments and any other charges that may be due.
__________________________ ___________________
Signature Date
__________________________ _________ _____
Approved
by Club
officer Date