preliminary entry form - 2017 FAI F3 World Championship for Model

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___________________________