Type Of Membership Requested - Business Member $50.00   OR  Private Member $25.00

Receipt RequiredYES  NO

Last Name   First Name

Company Name   Occupation

Address

       City   Prov. Postal Code

Business Phone   Home Phone   Fax No.

E-mail   Web Site(if any) http://

Are you an (check as many as apply): Airport Lease Holder Airport Sub Lease Holder

                                                          Renter of Hangar Space Tie Down Tenant

On Field Business YES  NO  If Yes then indicate the nature of your business (check as many as apply):

               Flight Training Parts Supply Maintenance Pilot Supply FBO Fuel Sales Charter

               Other - Explain

IF you are a Pilot:  License No.:  License Type:

Ratings Held:

IF you own an aircraft:  Registration:  Manufacturer:

Type Details

Signature ______ _______________________Date:_____________

Comments, if any:

Membership Committee Leader: Gary Jardine Phone: (403) 288-7700 Fax: (403) 288-7990

If printing and mailing, send to: SABPA c/o 562B Hurricane Drive, Calgary, Alberta T3Z 3S8