Membership Renewal Application

Lowveld Aero Club Membership Renewal

Application 2026 / 2027 Membership Year

Name *

First

Last

Date of Birth *

Nationality *

Identity Number *

Pilot Licence Number (if applicable)

Licence Expiry Date (if applicable)

Cell Number *

Email Address *

Category of Next

Residential Address *

Postal Address

Membership Category *

Family Membership Details

Only complete if applying for Family Membership. Include spouse and dependant details.

Next of Kin Name *

Relationship *

Next of Kin Contact Number *

Membership Declaration

Declaration Acceptance *

Proof of Payment Reference

Checkboxes *