ࡱ> PRO vbjbj >&hhv      $A,>mmmmmHZ f$f!V HH  mm" m m Ym`O>;%0>-,!;.!Y! YPn~@=nnni"nnn>!nnnnnnnnn :  MISSION SAFETY INTERNATIONAL DEDICATED TO SAFETY AS A WAY OF LIFE Individual Membership Application _____________________________________________, being a Christian involved in aviation and affirming commitment to the evangelical Christian faith, hereby apply for membership. It is understood that as a member I am expected to: a) Pay annual membership fee as specified. b) Make safe operations a personal goal. c) Report accidents and incidents to MSI as soon as possible. d) Send AShare Your Experience@ (incidents, close calls, etc.) reports to MSI. . 2. We also understand that MSI will provide us with safety services such as: a) Newsletters b) Access to the Members Only section of our website c) Maintenance safety information d) Flight safety information e) Safety motivation and encouragement f) Accident and AShare Your Experience@ summaries (de-identified) 3. Signed ____________________________________________________________ Date ___/___/___ 4. Please attach your membership fee for the first year of $__________(see accompanying fee calculation form). Make checks in U.S. funds payable to: Mission Safety International 328 E Elk Ave Ste. #1 Elizabethton, TN 37643-3351 A Ministry To Those Who Minister 328 E Elk Ave Ste. #1, Elizabethton, TN 37643-3351 USA - Phone (423) 542-8892 Fax (423)542-5464 Mission Safety International 328 E. Elk Ave Ste. 1 Elizabethton, TN 37643-3351 INDIVIDUAL MEMBERSHIP FEE CALCULATION For Year _____ The annual MSI membership fee is $10 USD for students, and $35 USD for others. The fee is due in January. Name: _______________________________________ Address: ______________________________________________ ______________________________________________ ______________________________________________ E-Mail _____________ _________________________________ Students = $10 Others = $35 Membership Fee Due =__________ Make checks payable to MSI, and mail to the address at top of page. Please provide the following: 1. Please provide us with a list of your aircraft (if any) by make and model for our statistical records. 2. Please provide us with copies of any aircraft accidents, incidents, mishaps, or SYE's (Share Your Experience) reports you have had during the past year for our statistical records. Also advise us as soon as possible of any you incur in the upcoming year. 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