| Select SSF FIRC Event |
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| Print your name exactly as it appears on your pilot certificate |
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| First Name |
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| Last Name |
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| Address |
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| City |
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| State |
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| Zip Code |
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| Email Address |
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| Pilot Ratings Held |
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| Total Pilot Time |
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| Glider Pilot Time |
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| Are you using this clinic to renew |
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| What Club or Commercial Operator do you fly with |
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| What Soaring Texts do you use to Teach Soaring |
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| How did you learn about this clinic? |
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| What other methods have you used to re-certify as a Flight Instructor? |
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| Please suggest items you would like to see posted on the SSF website |
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| Payment Type |
Credit Card
Pay by Check via Mail
Pay at Door
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