2008 Southeast Aerobatic Open Electronic Entry Form

Please fill out the following form to pre-register for the contest. For additional information, please download the Contest Information Booklet.

Competitor Name:

Category: Primary Sportsman Intermediate Advanced Unlimited

First Time Competitor

Patch Only

IAC Number:

Address:

City:

State:

Zip:

E-mail:

Birth Date:

Phone:

IAC Chapter:

FAI License:

FAA License Type:

FAA License Number:

Insurance Company:

Insurance Type:

Insurance Amount:

A/C Owner Name:

A/C Owner Phone:

A/C Owner Street:

A/C Owner City:

A/C Owner State:

A/C Owner Zip:

A/C Make:

A/C Model:

A/C N#:

Experimental Category

Aerobatic Category

A/C Engine Make/Model/HP