registration Form
AMA
Sanction # 08-0332
June 13,14,15/ 2008
Golden
Triangle R/C Club 1st annual Heli Blaze
Pilot#_______ Band
#____
Please, copy and paste in email or print out, and bring to the Heli Blaze
Must
have
AMA at time registration
or sign up at the Heli Blaze
Name:______________________
Address:_______________________
City, State & Zip _______________,_____,______AMA #___________
Approx
mileage
you drove______
Ham
License # ________________ (
if used) , Email
___________________________________
Aircraft:
Circle one:
Frequency
#1 name:________________________________
by,__________________
nitro electric
__________
#2 name:________________________________
by,__________________
nitro electric __________
#3 name:________________________________
by,__________________
nitro electric
__________
#4name:________________________________
by,___________________
nitro
electric
__________
Raffle
tickets to be purchased early: check
one
___
$5.00 per ticket____ 5for$ 20.00____
10 for $37.50_____ 20for $70.00_____ 40for $130.00_____ 50for $150.00
$4.00ea
$3.75ea
$3.50ea
$3.25ea
$3.00ea
3.00ea
Are you a sponsored pilot? ( No)
(Yes )By
who:_____________, ___________,_____________,_______________,______________
Will
you do a test and tune for beginners? (yes) (no)
Radios that are quick to help with ______________,_______________,_____________
Allow 10
days for processing before the event: or
Bring to the Heli Blaze. Remember there is a 5.00 discount to register early!
Ron Wedel
738 Forest Park Pl.
Grand Prairie, TX 75052
972-672-2082 (cell)