ࡱ> QSP bjbj >&hh      9,:eeeee@R ^$b"V @@  ee. e e Ye0 7^?% 0:-,"?6"Y" YLfv8=fffufff:"fffffffff :  MISSION SAFETY INTERNATIONAL DEDICATED TO SAFETY AS A WAY OF LIFE Organizational Membership Application _____________________________________________, being a Christian organization/ministry involved in aviation and affirming commitment to the evangelical Christian faith, hereby applies for membership. It is understood that as members we are expected to: a) Pay annual membership fee as specified. b) Make safe operations a formal goal of our organization/ministry. c) Require our personnel to report accidents and incidents to MSI as soon as possible. d) Encourage our personnel to send AShare Your Experience@ (incidents, close calls, etc.) reports to MSI. e) Develop, maintain and enforce compliance with an Aviation Operations Manual. 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, Incident, and AShare Your Experience@ summaries (de-identified) g) Safety Surveys h) Safety Seminars I) Accident investigation assistance* j) Assistance in developing an Operations Manual k) Research and development of new technology l) A Safety Certification Program *May require additional sharing of expenses 3. Signed ____________________________________________________________ Date ___/___/___ Authorized Representative 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 ORGANIZATIONAL MEMBERSHIP FEE CALCULATION For Year _____ The annual MSI membership fee is $1USD per flight hour that your aircraft flew in the past 12 months. The fee is due in January. Name of Organization: _______________________________________ Address: ______________________________________________ ______________________________________________ ______________________________________________ E-Mail _____________ _________________________________ Number of flight hours flown by your aircraft in the past 12 months = Total Membership Fee Due = Please provide the following: 1. Post office and E-Mail address list for all individuals who you wish to receive MSI safety mailings. 2. Please provide us with a list of your aircraft by make and model for our statistical records. 3. 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. Note: Item 1 is needed now for member mailings. Items 2 & 3 can be sent later. 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