Annual Membership (KSH 2500) USD 25

Name *

First

Last

Date of Birth *

Phone number *

Email Adress *

Kenyan Citizen / Resident / Tourist *

Nationality *

Glider manufacturer & Name / Colour / Age of Glider *

BGD LYNX2 / GREEN / 1 YEAR

Type of License / Total Flying Hours / Last check of Glider *

IPPI 2 /100 / 2018

Next of Kin - Name/Tel. Nr. *

AMREF FlyingDoc Insurance Nr.

Get your AMREF Flyng Doctors Insurance easily online. Basic rate is 15 USD short term. Most reliable and swift SAR in Kenya! Goto: https://flydoc.org/

Paypal / Mpesa Payment Code *

Payment: via Paypal USD 25 (PAK annual fee) to skyremyservices@gmail.com OR via 'Mpesa PAYBILL" KSH 2500 (PAK annual fee) to Business Nr: 516600 / Account Nr.: 445622 . Type in the Paypal / Mpesa Payment Confirmation Code above.

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