Membership Application

Please fill out the application below in order to request a membership to Pointer Avionics.

Please note: Requests are verified and activated within 24 hours or the next business day before access can be granted.

By creating an account at Pointer Avionics you will be able to receive special pricing, track your order status, view your invoice history and purchase maintenance manuals.

Please note that fields marked with * are required

Billing Information
Company Name:
*First Name:**		*Last Name:**
*Address 1:**		*City:**
Address 2:		*Province/State:**
If your state does not appear in this list please select "Other Not Listed" and enter in the state in the Address 2 Line
*Postal/Zip:**		*Country:**
*Phone Number:**		*Primary Email:**
Fax Number:		Secondary Email:
Website:		Yes I would like to receive Email updates from Pointer Avionics!

Shipping Information
Click here to copy your billing information to your shipping
Company Name:
*Frist Name:**		*Last Name:**
*Address 1:**		City:
Address 2:		*Province/State:**
If your state does not appear in this list please select "Other Not Listed" and enter in the state in the Address 2 Line
*Postal/Zip:**		*Country:**
Phone Number:		Email:
Fax Number:

Create Pointer Login and Password
User Name must be at least 6 characters long and can only contain numbers and letters
*Desired User Name:**		Checking user name...
Password must be at least 6 characters long and can only contain numbers and letters
*Password:**
*Re-Enter Password:**
Click Here to Submit Membership Application

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Membership Application