POPS Australia

Parachutists Over Phorty Society Australia

Membership Application

I wish to apply for Membership of the Parachutists Over Phorty Society Australia.

I am 40 years of age or older and have done at least one parachute jump (may be a tandem).

Here are my details:

Full name

Postal address

Email address

Phone

Date of birth

 Male Female

No. of jumps

Home DZ

Year of first jump

APF/other no.

Licence no.

Display licence no.

If applicable: NZ/UK/USA/Other POPS No.

Other credentials, jumping interests, ratings, claims to fame:

And now pay the $20 once only lifetime membership fee to:

Account name: POPS Downunder

Account number: 241886

BSB: 032586

Bank: Westpac Banking Corporation Horton Street Port Macquarie NSW 2444