PAMA

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User Information

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Member Type Information

Regular
($49.00 / 1Year(s))
Expires: 5/11/2009 Total: $49.00

Associate
($49.00 / 1Year(s))
Expires: 5/11/2009 Total: $49.00

Student
($10.00 / 1Year(s))
Expires: 5/11/2009 Total: $10.00

Prospect

Sponsoring Member's Information

Please complete if you are joining PAMA because of the recommendation of a current PAMA member.

Sponsor First Name:

Sponsor Last Name:

Sponsor Member Number:

Personal Information

* Indicates required fields

Prefix:

First Name:

Middle Name:

Last Name:

Suffix:

Email Address:

Business Address:

Business Address Line 2:

Business City / State / Zip:

Business Country:

Home Address:

Home Address Line 2:

Home City / State / Zip:

Home Country:

Name of Organization:

Title:

Business Phone:

Business Fax:

Home Phone:

Home Fax:

Mobile Phone:

Mailing Preference:

Business Information Home Information

Directory Preference:

Business Information Home Information

Include in Email List:

Include in Business Directory:

Information In Business Directory:

Name
Title
Organization
Address
Phone
Email

Additional Information

FAA Mechanic Certificate Rating

Airframe
Powerplant
A&P
A&P IA

FAA Mechanic Certificate Number

Date of Issue

Mechanic Certificate Information

FAR Part 65 Experience
FAR Part 147 AMT School

Name of School

FCC Certificate Number

FCC Certificate Issue Date

Other Certificate Type

Other Certificate - please specify

Other Certificate Issue Date

Industry Segment

Type of Business

Size of Business

Job Function

Major Course of Study

Degree/Training being Pursued

Expected Graduation/Completion Date

Birth Date

Business Classification

Gender

Male
Female

Age

Years in Aviation Industry

Education Level

Website

I would like to receive career enhancement information and other PAMA approved industry related materials.