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First Name

Last Name

Password

Phone Number

Highest Level of Pilot Certificate

Total Flight Time (if not applicable, enter N/A)

Type Ratings (if not applicable, enter N/A)

PIC Time (if not applicable, enter N/A)

SIC Time (if not applicable, enter N/A)

Turbine Time (if not applicable, enter N/A)

Multi Time (if not applicable, enter N/A)

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