Enquiry Form

You can contact the club secretary at:

Midland Gliding Club, The Long Mynd,
Church Stretton, Shropshire SY6 6TA
01588 650 206 voice
01588 650 532 fax

Please use this form to make enquiries about trial lessons, weekend flying, club membership, holiday courses, visiting expeditions, training, or anything you need to know about the Midland Gliding Club. When complete press submit (once) and your request will go direct to the club office. You will receive a confirmation massage.

The sections marked * must be completed

Please identify and describe yourself:

*First name
*Last name
Date of birth
Gender	Male Female
Weight	lbs

Please provide the following contact information:

*Street address
Address (cont.)
*City
*County/State/Province
*Zip/Postal code
*Country
Work Phone
*Home Phone
FAX
E-mail
URL

Please provide information about the following: (click to highlight a single selection, CTRL click multiple selections)

Ctrl click multiple selections

If you require any information not covered above please type your request in this space
What do you think of our web site ? Any suggestions for improvements?

Enter the date of your request. :

-- dd/mm/yy

Please only click SUBMIT once. You should receive confirmation that the message has been sent.

Last revised: December 2006