Membership Status Change Request Form

Membership Status Change Request Form (v3.0)

©West Valley Flying Club 2024.
Member Name*

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

REGULAR: $65/MonthRETIRED: Reactivation fee will apply
Change Member Status To:*

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

ASSOCIATE: $10/MonthREGULAR: $65/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.
Reason for Change*

Moving AwayNot 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)