Arizona Hang Gliding and Paragliding Association

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Name *

Address *

City *

State/Province *

Zip/Postal Code *

Country

Home Phone

Cell Phone

Email *

USHPA #

USHPA Exp. Date

AZHPA Member Number

If renewing, please provide. If new member, one will be assigned.

Hang Glider Rating

Paraglider Rating

Emergency Contact Name

Relationship

Emergency Contact Relationship

Phone #

Emergency Contact Phone

Comments

Any comments you would like to send to the Treasurer

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Please fill out each field, this information is needed by our membership/treasury department in order to verify and keep track of membership dues. Once you fill out and submit this form, you will be directed to another page where you can select the type of membership you want and make online payments.

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