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Class Registration
PLEASE NOTE:
To Schedule a class date, please call 800-332-6822 or 615-459-6001. When you see a required field, we hope you will give us the most complete information! THANKS!
* Required Fields
Registration Form - complete and submit online!
*
Class Type
:
Initial
Requalification
Recurrent
*
* Class Date Selected
:
Student Information
*
Name
:
*
Street Address
:
*
City, State, Zip
:
*
Home Phone
:
Work Phone
:
Cell Phone
:
Fax
:
Date of Birth
:
Email Address (important)
:
Certificate # and Rating
:
Medical Date
:
Class
:
Business Name
:
Business Street Address
:
Business City, State, Zip
:
Aircraft Information
Model MU2
:
N#
:
Serial #
:
Autopilot
:
Name of Business Aircraft is Registered to
:
Insurance Company Name
:
Agent Name / Address / Telephone / Contact Name
:
Do you require any additional flight training?
:
Yes
No
*
Authentication:
*
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