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If you are new to WOR and you need helmet stickers, do not use this form. This Form is for renewals only. Instead, download, print, fill out, and mail a hardcopy application, including signed waivers for the sites (Ed Levin and/or Mt Diablo) for which you need stickers.

It can take a few weeks to get stickers using the online process so if you want to fly tomorrow at one of the WOR sites you should get the stickers from WOR EC members directly.

Fill out the required fields plus only the fields which have changed since your last WOR renewal.

You must complete this form and the following payment form, with matching and correct information. Failure to do so means your application is NOT valid and you should start again. USHGA numbers will be checked against the USHGA database to ensure current membership and rating status.

All required fields are in red.


Personal Information

First name, Middle Name, Last name (eg. Joe Awesome Pilot):

Email address:

USHGA Number expiration (mm/dd/yyyy):

Hang Glider Rating:

Paraglider Rating:

Also renewing for Mission/Diablo? (Advanced rating required. Mission only for PG):

There are now 2 basic membership options.

Option 1 costs $13.00 via web renewal and does NOT include a hard copy newsletter via the US Postal Service. You must download your newsletter from the newsletter web page if you choose this option, and you must supply a valid email address above.

Option 2 includes a hard copy newsletter via US Postal service and costs $28.00 via web renewal.

My choice is:

I would like to be added to the Wings of Rogallo
email list at this email address
(See Contacts page for details):

Street:

City:

State and Zip code:

Home Phone: (With area code)

Work Phone: (With area code)

Birthdate (mm/dd/yyyy):

Emergency Contact Name:

Emergency Contact Phone:

Ham Call Sign: (Optional)

Profession:

USHGA Appointments:

Full members WOR Number (If renewing as a family member):


Stickers Needed

Valid year sticker is issued automatically. Check below only if you need one or more new stickers (eg: new helmet). If you check any box in this section, indicate why you are requesting new sticker(s) in the optional message box below.

If you have never been a WOR member, do not use this form. Instead, download, print, fill out, and mail a hardcopy application, including signed waivers for the sites (Ed Levin and/or Mt Diablo) for which you need stickers.

Hang Gliding Sticker(s) Needed:

Paragliding Gliding Sticker(s) Needed:

Other Sticker(s) Needed:

NOTE: WOR ID number will change if a new ID sticker is requested.


Optional message:
(If you are entitled to free membership, please explain why here.)


Please click the "send it" button only once
even though may take several seconds to go to the next page!



 
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