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Please take a moment to complete this registration form. The information is confidential and will be used to help us improve the Major PiloteBook^®

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Medical Certificate Held

First Class

Second Class

Third Class

Pilot Certificates Held

Student Pilot	Recreational Pilot	Sport Pilot
Private Pilot	Commercial Pilot	Airline Transport
CFI	CFII	CFI-Glider
CFI-Multi	Ground Instructor

Category Ratings

Airplane	Rotorcraft	Glider
Lighter-than-air	Powered-Lift

Class Ratings

Single-engine land	Multiengine land	Single-engine sea
Multiengine sea	Helicopter	Gyroplane
Airship	Balloon

Instrument Ratings

Airplane

Helicopter

Powered-Lift

Ground Instructor Ratings

Basic

Advanced

Instrument

Other Certificates/Ratings:

I am a Flight Crew Member, non-pilot.

I am a Ground Team Member, non-pilot.

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P/A Development    PO Box 28   Lebanon, In 46052    Privacy Statement Copyright © 2003-2006 P/A Development.   All Rights Reserved.    MajorPiloteBook® is a Registered Trademark of P/A Development.