Pilots For Kids

Become A Member

Thank you for your interest in joining Pilots For Kids!

The form below is easy to fill out - simply fill in your details and billing information. We accept major credit cards for all transactions. Additionally, you can mail in a printed form and a check if you'd like.

Why Become A Member?

Becoming a member allows us to operate as an organization. Because all of our donations go to the children, your membership support is especially important. Joining our organization costs only $25 per year and is open to everyone.

Join Pilots For Kids

Please fill in the fields to the right. Thank you for joining!

New Membership Application

First Name:

Last Name:

Your Employer:

Please indicate your employer.

Address:

Address (cont):

City:

State/Province:

Zip Code:

Country:

Email:

Your personal information is never shared or sold!

Home Phone:

Cell Phone:

Billing Information

Please enter your billing information so that we can correctly process your credit card.

Your Dues Amount

Dues Amount:

.00

Please input how much you would like to pay in dues. The minimum is $25/year, but if you choose to pay more, those funds go to help running Pilots For Kids!

Your Cardholder Information

Cardholder Name:

Please enter your name as it appears on your credit card, in one line.

Credit Card #:

Please enter your credit card number without any spaces or dashes.
Debit Card Users: If your transaction is declined, please contact your bank to pre-authorize your charge and submit again.

Expiration Month:

Please enter the two-digit expiration month of your credit card.

Expiration Year:

Please enter the two-digit expiration year of your credit card.

Card CVV/CID:

Please enter the three or four digit CVV or CID for your credit card.

Please check the box to the right to verify you are not a bot before submitting.

Become A Member

Join Pilots For Kids

Billing Information

Please Confirm Your Payment