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PA Drone Association Individual Member Form

Name *

First

Last

Email *

Phone *

Which of the following describes your drone activity? (select all that apply)

I fly drones recreationally
I fly drones professionally
I have my own drone business
I have an FAA Part 107 remote pilot's certificate
I am interesting in providing help to the PA Drone Assocation

If applicable, what is the name of your drone business?

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Gender

Male
Female

Date of Birth