PRE-REGISTRATION
ENTRY FEE - $20 and
includes Event Shirt, Raffle Ticket and Sponsor Package
Current AMA Membership
required for all Registered Pilots
NAME:_______________________________________________
AMA:_______________________
ADDRESS:________________________________________________________________________
CITY:
PHONE:
____________________________ EMAIL: _______________________________________
FREQUENCY/CHANNEL:
________________________________ # OF AIRCRAFT: _______________
HOW DID YOU
HEAR ABOUT THIS EVENT? ______________________________________________
WHICH EVENTS WOULD YOU
LIKE TO PARTICPATE IN? CHECK ALL THAT
APPLY
“ETA” _____________ “SHORTEST TAKEOFF” _______________ “RAFFLE
RUN” ________________
PLEASE PRINT OUT
PRE-REGISTRATION FORM AND FAX OR RETURN TO:
2006
C/O – MIKE MANN
FAX: 925-672-5097
NO PAYMENT REQUIRED, CAN BE
MADE DAY OF EVENT.
MAIN GENERAL INFO SCHEDULE EVENTS AWARDS
PRE-REGISTRATION DIRECTIONS &
MAP SPONSORS