EmailMe Form - North Star Flyers

Date Time *

MM / DD / YYYY

Pilot Name *

Aircraft *

Ending Hobbs

Ending Tach

Flight Time (if using tach, round to nearest 0.1)

Anoka Fuel Added *

Oil Added *

Flight Charge
(Rate table at bottom)

$ Dollars . Cents

Fuel Credit
(Copy of receipt required)

$ Dollars . Cents

Fuel credit: Gallons added (Required if credit sought)

Dues ($65/month, $715/year)

$ Dollars . Cents

Total Paid

$ Dollars . Cents

Payment Source

Paid by check

Deduct from prepaid acct

Paid by Venmo

Adding to prepaid account

Currency Flight?

Flight Review

Flight with Club CFI

Squawks/Comments

Rate Table