PWCA Registration

PWCA Registration - 2000 or Acrobat - PDF File

By filling out this membership form you will become member of the PWCA.
As soon as we receive this form, we will attribute you your 2000 PWC competition number.
You can pay your membership fee of 200 ff / Sfr 50 or 30 Euro at the same time as your first PWC competition entry fee.
Or send it in cash by mail but you can also establish an Euro-cheque of 200 ff (and only ff).

Name

Address

Address

Town

State

Post Code

Country

Mobile Tel N¡

Pers. Tel N¡

Fax

Email

Birth Date

Sexe Masculin FŽminin

Weight

Sponsors

Nationality

Blood group

Contact name & address in case of emergency

PWCA member in 1999 ? Yes No

99 final ranking

GLIDER

Glider model & Size

Glider color

Constructor

OPEN CLASS (Prototype and Certified gliders)

SERIAL CLASS (DHV 2/3 or Afnor Performance)

PILOT COMMITTEE

Are you interested to be in the Pilot Committee Pool ?

Yes No

By answering to the above question, you may be choosen by the PWCA committee to figur on the 2000 Pilot Committee Pool List which is composed of a maximum of 10 pilots.

During each PWC registration, pilots have to elect, by secret vote, 2 pilots among this pool list.
These 2 elected pilots will be in the task committee of the concerned PWC competition.

ADMINISTRATION

Pilot licence N¡ Licence expiry date

-- Day/Month/Year

FAI licence N¡ FAI licence expiry date

-- Day/Month/Year

Insurance Company

Insurance N¡

Would you like to receive all PWC informations/mailings& results by Email, or by Post ?

Email Post

How will you pay your registration fee?

At the same time as your first PWC entry fee
By mail (Euro-cheque in FF only or in cash)
By credit card ( If you decide to pay by CC, please send us by fax, mail or Email the CC number and its expiry date.)

Name
Address
Address
Town
State
Post Code
Country
Mobile Tel N¡
Pers. Tel N¡
Fax
Email
Birth Date
Sexe	Masculin FŽminin
Weight
Sponsors