Registration form

LAST NAME: .......................….................. FIRST NAME: ....................…………....    

MALE/FEMALE: ……...

 Address:        ...................................................................... Tel : ..................................

                       ..........................................................………………………............

Country : ……………………

 National Association : ...................…………….... LICENCE No:  ........................ FAI No .........................

Pilot Rating : ...................................             (Photocopy required)

    Club  : ...........................................................................................................

   Accident Insurance details : .......................................................................

Insurance Emergency Tel No:  …………………………………….

Policy No: ………………………………………….

    Wing Manufacturer: ........................................   Model : ..............................................

     Colours + Markings: ..................................................................................

LAST NAME:.................................................    FIRST NAME: ......................................

    Pilot No : ...................................................................................................................

    Brief summary of flying experience for journalists and organisers:

Started flying in ................................................................ at  .............................................

Competitor since :  ...........................................................................................................

Qualifications, achievements etc : ....................................................................................

 .................................................................................................................................

Best competition results and personal bests:  

................................................................................................................................................

...............................................................................................................................................

.................................................................................................................................................

 Sponsors: .............................................................................................................................

    Cut and paste into an email to :  inscriptionCDF@aol.com or print it and send it by post to : Thierry RONDO

    Registration 100 €


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