2006 REGION NINE REGIONAL CONTESTS
ENTRY FORM
Designate which
contest(s) you would like to enter:
____ 2006 Regional Championship ($15 entry
fee)
____ 2006 Yearlong Cross-Country Contest (No Fee)
PLEASE NOTE ANY NEW ADDRESSES, NUMBERS OR GLIDERS
Pilot Name____________________________________________________________
Address_______________________________________________________________
________________________________Zip________
Work phone:______________________________
E-Mail___________________________________
FAX #_________________________
Approx. Total Region 9 XC miles?______Longest XC East of
Open/60-Mile/Rookie Class/Rigid/Paraglider? (circle one)
Glider
Type_______________________________________________________
If you don't have regular Saturdays and Sundays off, what
are your off days?_________________________________________________
If entering the Regionals, please return the completed form with a $15
check made out to my
legal name:
5811Elgin St.
Yearlong Contestants can simply email/fax/mail their form. There is no fee.
FAX 815-301-9418;
e-mail: lplehmann@msn.com