Membership Status Change Request Form

Membership Status Change Request Form (v3.0)

©West Valley Flying Club 2025
Member Name*

First NameLast Name
Member #
Current Membership:*
Change Member Status To:*

Regular Membership: $65/MonthRETIRED: Reactivation fee will applyFamily or Military/Vet Membership: $35/Month
Change Member Status To:*

ASSOCIATE: $10/MonthRETIRED: Reactivation fee will apply
Change Member Status To:*

Associate Membership: $10/MonthRegular Membership: $65/MonthFamily or Military/Vet Membership: $35/Month
Please consider switching to an Associate membership ($10/month), you will continue to be a member and keep your club benefits (exception of scheduling and flying planes):
- Access to SIMs
- Access to Clubhouse
- Access to Club Events
- Fuel purchasing
When you are ready to start flying again, there is no cost in switching back to a Regular membership. If you choose to retire (Cancel) your membership, there will be a reactivation fee when you are ready to return to a regular membership.
If "Military/Veteran" is selected, please attach a copy of your military/veteran ID or proof of status.

Cancelof
If "Family Membership" is selected, please provide Family Name or Member #
Reason for Change*

RelocatingNot interested in FlyingToo ExpensiveNo time to FlyHealth ReasonNo longer using Club ServicesCFI experienceOther
Date

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone/Cell #*
EMAIL*
example@example.com
SIGNATURE*

Clear
The signature above authorizes West Valley Flying Club to make the appropriate changes per this form.
Should be Empty:

Membership Status Change Request Form (v3.0)