Are you ready to fly?

Thank you for logging on! Please fill out the information* below to receive a Certificate entitling you to an introductory flying lesson for just $99 or less at one of 2,000+ participating flight schools.

Once the form is completed, click on "Submit" to display the completed certificate. Then click on "Print this Page" at the bottom of the certificate.

Would you like to give the Gift of Flight? Complete the form with the recipient's information, then click on "Submit" to display the completed certificate. Print out the certificate. When presenting your gift, attach $99 or less (US) to be paid to the flight school at the time of the Introductory Flight Lesson.

First Name* :
Last Name*:
Street Address* :
Apt. or Suite # :
City* :
State/Province* :	Select a State/Territory/Province Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming Canadian Provinces Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Ontario Prince Edward Island Quebec Sasketchewan Yukon Territories
ZIP/Postal Code :
Country :	USA Canada
Day Phone :
Evening Phone :
Fax (optional) :
Email :*
Age :	Under 12 12-13 14-16 17-24 25-34 35-54 55+
Gender :	Male Female
Your Flight School's Name :
Please tell us how you heard about BE A PILOT. Your responses help us allocate our outreach resources.
How did you hear about us:
Marital Status :	Single Married Divorced Living with Partner Widow/Widower
Education :	Some High School Completed High School Some College Completed College Some Post Graduate Studies Completed Post Graduate Studies
Household Income:	Under $20,000 $20,000-$39,999 $40,000-$59,999 $60,000-$89,999 $90,000-$124,999 $125,000-$149,999 $150,000-$199,999 Over $200,000
Home :	Own Rent
Press the submit button to continue and print your Certificate.

*Postal address required to document your certificate registration. See our Privacy Policy.

BE A PILOT will not sell, rent or trade your name, address, e-mail address or other personal data to outside parties. Some BE A PILOT participating aviation companies, organizations or flight schools may send you additional information about aviation and learning to fly. If you do not want to receive such information by e-mail, please do not provide your e-mail address.

©2007 Aircraft Owners and Pilots Association