West Pasco Model Pilots Association

Fly High, Fly Safe!

West PASCO Model Pilots Association Inc.
Odessa Florida
Membership Form

Membership Request *

New Membership
Membership Renewal
Junior Membership

Please Select A Membership Type

First Name *

Last Name *

Date *

Address *

City *

State *

ZIP *

Phone *

Age if under 19

Email *

AMA Number *

AMA Expiration *

FAA UAS Registration #

Leave blank if not registered

Date Issued

Date Expires

FAA TRUST Authentication Token

Leave blank if not registered

Are You A Student Pilot *

Student Pilot
No, I already Fly R/C

Are you a Student Pilot?

After you Submit the above form, follow the directions below:

1) Send a check for the correct amount, made out to WPMPA.
2) Send a copy of your current AMA card to:

Treasurer WPMPA
PO Box 234
Elfers, FL 34680-0234

3) Once payment is received a Membership Card will be emailed to you at the E-Mail address you submitted in the form
4) You can pick up a Gate Key at the field from the Vice President or Treasurer.

Your membership will be activated once the treasurer receives your payment and a copy of your AMA card.

Alert!