2017 FAI F3B World Championship for Model Gliders class F3B SENIORS and JUNIORS 6th- 13th September 2017 Jesenik – Mikulovice, Czech Republic PRELIMINARY ENTRY FORM NATIONAL AEROCLUB / FEDERATION OF _______________________________________ CORRESPONDENCE ADDRESS __________________________________________________ ____________________________________________________ ___________________________________________________ _____________________________________________________ FAX:_______________________________ EMAIL___________________________ PHONE___________________________ NATIONAL TEAM team manager___(also competitor)__________ - team manager’s assistant___________ - senior competitors__________ - junior competitors___________ - 2015 European Champion senior_____ - 2015 European Champion junior (i.a.w. Sporting Rule C.5.1)_____ - helpers____________________ - supporters_________________ - timekeeper_________________ - press representatives_________ - persons in hotel_____________ TOTAL PERSONS____________ Fill in and return to (by e-mail): Ing. Jan Stonavsky Jirovcova 772/60 623 00 Brno, Czech Republic TEL.: +420 603 834 337 E-mail: [email protected] PLEASE RETURN BY E-MAIL, MAIL OR FAX UNTIL the 31th of March 2017 SIGNATURE & STAMP OF NaeC/FEDERATION _________________________________________ DATE___________________________
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