PilotLog

Welcome to all GliderPilot.net members! You qualify for an extended six month free trial instead of the usual three months. Simply ensure that GliderPilot is entered in the 'promotional code' box below.

For a 6-month free trial of PilotLog, please fill in the information below. Your personal details will be used only for the purposes of administering your account, as per our Terms & Conditions. When you submit this data, you will receive an automated e-mail confirming your details.

Title : *	(Capt, Mr, Mrs, Miss etc.)
First Name : *	Middle Name(s) :
Surname / Family Name : *
e-mail Address : *
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State :
Airline : *
If [Other] please specify :

Where did you hear about us? :
Promotional code :

I have read and agree to the Terms & Conditions : *



Address and telephone details are optional, but give us an alternative contact if e-mail fails. Your log book should include your name and address to be complete.

Address :


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Home Telephone :
Mobile Telephone :

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