AERO SPORTS CONNECTION
ppw, pfw, pws, psp
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Applicants Name (printed) Phone Day Phone Evening
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Address Date of Birth (mm/dd/yr)
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City, State Zip ASC Membership # or FAA Certificate #
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*Written test not required for holders of an FAA pilot certificate or an EAA, USUA, USHGA pilot registration. Attach copy of certificate or registration when returning application. |
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Instructor’s Name (printed) Phone Day Phone Evening_______________________________________ _________________________________________
Address Organization and Number
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City, State Zip Instructor’s Signature ** Date** ASC accepts instructor endorsements from EAA, and USUA ultralight instructors.