2017 FAI F3B WORLD CHAMPIONSHIP for Model Gliders
6. – 12. August 2017 Jesenik - Mikulovice, Czech Republic
Final Entry Form
NATIONAL AEROCLUB/FEDERATION OF
No.
First Name & Last Name
(in capitals)
FUNCTION
FAI LICENCE
DATE
OF
BIRTH
Entry Fee
in Euro
Banquet
in
Euro
1
Team Manager
400
0
2
Team Manager Assistant
400
0
3
Reigning WC
400
0
4
Competitor Senior
400
0
5
Competitor Senior
400
0
6
Competitor Senior
400
0
7
Competitor Junior
200
0
8
Helper
80
0
9
Helper
80
0
10
Helper
80
0
11
Helper
80
0
Total in
Euro
Radio
Freq.
World
Cup
12
Helper
80
0
13
Helper
80
0
14
Helper
80
0
15
Supporter
80
30
16
Supporter
80
30
17
Supporter
80
30
18
Supporter
80
30
19
Supporter
80
30
20
Supporter
80
30
Number of Persons:
Date of Arrival:
Sum in Euro:
Date of Departure:
If your team would like to rent batteries (35 Euro / battery)
Number of batteries
Final Nominal Entry via email or letter till April 30th 2017, to
Ing. Jan Stonavsky
Jirovcova 772/60
623 00 Brno
Czech Republic
[email protected]
Please enclose a digital passport colour photo (jpg 200 dpi) of the TM, competitors and helpers and send it to: [email protected]
Date______________
Seal & Stamp of NAC/Federation________________________