NEW Membership Registration + Donation Form (2025)

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Include a submember in your membership registration

Your support allows for to us to create scholarships and fund outreach programs that inspire the next generation of Latin aerospace professionals. We invite you to donate an additional amount today and make a lasting impact through a one-time donation or schedule reoccurring contributions. We appreciate any contributions!

Junior

Student

Standard

Lifetime

I would like to automatically renew my membership

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First Name *

Last Name *

Date of Birth *

Registering as a Junior or Student Member? This field is required.

Email *

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Phone Number

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Address Line 1 *

Address Line 2

City *

State/Province

Zip/Postal Code *

(If none, enter 00000)

Country *

Select your region. (determined by home address) *

Find Your Region: https://www.latinopilot.org/lpa-regions

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Employment Type *

Employer *

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Junior & Student Verification - Upload Attachment(s)

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Include a submember

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Choose Existing Contact(s)

Membership Level *

I would like to automatically renew my membership

First Name *

Last Name *

Address Line 1

Address Line 2

City

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Discount Code

Code:

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Order summary

Subtotal {{formatAmount(orderSummary.subtotal)}}

Discounts -{{formatAmount(orderSummary.discounts)}}

Total {{formatAmount(orderSummary.total)}}

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Amount:

{{formatAmount(totalAmount)}} USD

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Membership Registration

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	Contact Name	Membership Level
	{{item.contactName}}	{{item.membershipLevel==null?'-':item.membershipLevel}} {{item.startDate}} - {{item.endDate}}
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