Monday, January 04, 2010

2010 North West Aerobatic Championships Entry Form -- Quintin Schroll


KLERKSDORP RADIO FLYERS

HOST THE

NORTH WEST AEROBATIC CHAMPIONSHIPS

6th & 7th February 2010

ENTRIES CLOSE 1st FEBRUARY 2010

THE ENTRY FEE IS R200.00 AND INCLUDES A BRAAI PACK, EXTRA BRAAI PACKS AVAIABLE FOR R20.00 FOR THE SATURDAY EVENING

PLEASE HEREWITH ACCEPT MY ENTRY TO 2010 NORTH WEST CHAMPIONSHIP

I WILL BE PARTICIPATING IN THE FOLLOWING CLASS:

SPORTSMAN ADVANCED MASTERS FAI NOVICE

MY NAME IS: _______________________________________________________

MY FREQUENCY IS: ___________________________________________________

MY CELL NUMBER IS: __________________________________________________

MY E-MAIL ADDRESS IS: ________________________________________________

TOTAL DUE R200.00 + EXTRA BRAAI PACK = R____________

SIGNATURE_______________________________________

(WITH THIS SIGNATURE I CONFIRM THAT I AM IN GOOD STANDING ORDER WITH SAMAA AND MAASA)

PERLIMINARY PROGRAMME: PILOTS BRIEFING 07H30 FLYING STARTS 08H00 SATURDAY & STARTS 07H00- PRIZE GIVING SUNDAY.

LATE ENTRIES: WITH AN EXTRA R100.00 MOTIVATION

PROTEST FEE R200.00

ENQIURES: NICO ERASMUS 0832767047

BANK DETAILS: ACCOUNT FNB STILFONTEIN 62086734681

PLEASE FAX PROOF 018 462 7367 OR e-mail ERASMUSNICO@YAHOO.COM

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