PilotAge Subscriber Registration Form

Fill out this Form, then Press SUBSCRIBE, below. The Bold items are Required.

Name Email
Address Phone
City,State,Zip Airport
Do you have internet access?   Yes   No Your flying club name?
Would you like to receive the FAA SoCal Safety Review via Email? Yes   No
For Pilots Only For Aircraft Owners Only
If you are a Pilot, you may enter your If you are an Owner, you may enter your
Rating(s) Make & Model
Certificate # "N" Number
and your BFR date for an Email reminder and your Annual date for an Email reminder
BFR date Annual date
Enter your Medical date for an Email reminder
Med date


Use this button to reset all the fields to blank:
(don't press it by mistake!)

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