Inscription Form , Farellones Octubre 2003 Meeting
Please complete the form with appropiate information, and submit this form ONLY IF YOU ARE STAYING AT THE LODGE, otherwise you should contact us by e-mail.
Name
Last Name
Gender
Masculine
Femenine
Nationality
City
Phone Number(s)
E-Mail
License number (DGAC FAI, or local USHGA etc), type/number
Select aircraft
Hang Glider
Paragliding
Class2 wing
other
I don�t carry any
Brand
Model
Color
DHV,ACPUL
Number on the wing (if any)
In case of emergency call:
Name
Phone number(s)
Allergies
Blood Group
Select Inscription Type
PILOT 2 NIGHTS LODGE $17.000
NON PILOT 2 NIGHTS LODGE $15.000
PILOT 1 NIGHT LODGE $10.000
NON PILOT 1 NIGHT LODGE $7.500
"LITTLE CHILDREN DON�T PAY IF THEY CAN SNUG IN THEIR PARENTS BED"
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