Supporting Member

A Supporting Member is a volunteer pilot group that is not a 501(c)(3) nonprofit or not independently administered, or a company or group that generally supports the mission of the ACA. This is a non-voting membership.

Your nominal membership contribution helps us to continue our mission in support of organizations and pilots flying to serve the needs of humanity. It enables us to foster communication and collaboration among groups; to bring our message in front of aviation associations, government agencies and the general public; and it supports administration of the CMF call sign program for volunteer pilots.

By completing this form, you are affirming that your organization operates in compliance with all applicable laws, rules, and regulations related to the conduct of nonprofit charitable organizations and with all Federal Aviation Regulations as they relate to fuel expense reimbursement and payment of pilot expenses and, if applicable, operation of aircraft by the organization.

Price:

100 for 1 Year

First Name:* First Name Required

Last Name:* Last Name Required

Organization name:* Organization name is Required

Office phone: Office phone is not valid

Office fax: Office fax is not valid

Toll-free phone: Toll-free phone is not valid

24-hour phone: 24-hour phone is not valid

Website URL: Website URL is not valid

Public Info Email Address: Public Info Email Address is not valid

Organization tag line: Organization tag line is not valid

Primary contact first name: Primary contact first name is not valid

Primary contact last name: Primary contact last name is not valid

Primary contact title: Primary contact title is not valid

Primary contact email: Primary contact email is not valid

Primary contact phone: Primary contact phone is not valid

Primary contact alt phone: Primary contact alt phone is not valid

Secondary contact first name: Secondary contact first name is not valid

Secondary contact last name: Secondary contact last name is not valid

Secondary contact title: Secondary contact title is not valid

Secondary contact email: Secondary contact email is not valid

Secondary contact phone: Secondary contact phone is not valid

Secondary contact alt phone: Secondary contact alt phone is not valid

Contact note: Contact note is not valid

Organization is a nonprofit?

Nonprofit type: Nonprofit type is not valid

Primary activity: Primary activity is not valid

Ambulatory patientsAir ambulanceNon patient medicalDisaster responseEnvironmentalAnimal rescueYouth educationPublic benefit flying supportNot SpecifiedOther humanitarian serviceCharitable Aviation Events

Secondary activity: Secondary activity is not valid

Ambulatory patientsAir ambulanceNon patient medicalDisaster responseEnvironmentalAnimal rescueYouth educationPublic benefit flying supportNot SpecifiedOther humanitarian serviceCharitable Aviation Events

Tertiary activity: Tertiary activity is not valid

Ambulatory patientsAir ambulanceNon patient medicalDisaster responseEnvironmentalAnimal rescueYouth educationPublic benefit flying supportNot SpecifiedOther humanitarian serviceCharitable Aviation Events

Other activity description: Other activity description is not valid

Inflight medical attention capable?

Stretcher capable?

Children only?

Cancer patients only?

Service description: Service description is not valid

Service notes: Service notes is not valid

International region(s): International region(s) is not valid

US (all states)CanadaMexicoCentral AmericaSouth AmericaOther international

International region description: International region description is not valid

US States Served: US States Served is not valid

AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontUS Virgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming

Year founded: Year founded is not valid

Annual flights coordinated: Annual flights coordinated is not valid

Annual flights flown: Annual flights flown is not valid

Annual mission hours: Annual mission hours is not valid

Ave miles per mission: Ave miles per mission is not valid

Individuals Served Last Year: Individuals Served Last Year is not valid

Pilot volunteers: Pilot volunteers is not valid

Other volunteers: Other volunteers is not valid

Paid staff: Paid staff is not valid

Username:* Invalid Username

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Have a coupon?

Coupon Code: Invalid Coupon Coupon applied successfully

 

No val Please fix the errors above