1) FULL NAME - Mr/Mrs/Miss/Ms...........................................................................................

2) COMPANY NAME (if applicable).........................................................................................

3) ADDRESS FOR ASSOCIATION CORRESPONDENCE
..............................................................................................
..............................................................................................
..............................................................................................
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Post Code...................................... Date of Birth………/……/……….

Tel. No.......................................... Fax. No..........................................
Mobile No.................................... E-mail...........................................

4) a) Are you a Farmer or Landowner......Yes/No....(delete as applicable)
b) How many acres do you
1) Farm as Owner.....................
2) Farm as Tenant..................
3) Own as Landlords.................

5) Principal farming activity..................................................................................................

6) Do you own or operate an aircraft.....Yes/No....(delete as applicable)
If so please state type & registration..............................................................................

7) Do you own or operate an airstrip.....Yes/No....(delete as applicable)
If so, are you prepared to allow others to use the strip with prior permission....Yes/No.
If yes, please give;

Coordinates............................................... (eg N54 30 W001 25) Runway direction(s)...........................
Length and width (in metres)...................................... Surface (grass, tarmac etc)..............…………………….
Any information or peculiarities (slope, cables etc.).................................................………………………..........

8) If your answer to 4a is NO, what other special interests in agriculture or aviation do you
consider may make you eligible for membership of the Association?
..........................................................................................................................................
..........................................................................................................................................

9) Please consider my/our application for membership

Signed..................................................... Date...........................................................

10) Proposer………………………………………. FFA No………….. Signed…………………………………....

Seconder……………………………….. …… FFA No…………… Signed……………………………………

Please return the form by post to;
Paul Stephens, Moor Farm, West Heslerton, Malton, North Yorkshire, YO17 8RU

Approved by the Committee on……………………………… Membership Number…………………………………..