PWCA Registration - 2000 or Acrobat - PDF File


			
Name
Address
Address
Town
State
Post Code
Country
Mobile Tel NĄ
Pers. Tel NĄ
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 NĄ                     Licence expiry date

                 -- Day/Month/Year

FAI licence NĄ                      FAI licence expiry date

                -- Day/Month/Year

Insurance Company  

Insurance NĄ

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.)