info@xcflight.com
XC CLINIC
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indicates required fields
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Name:
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Address:
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Nationality:
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Telephone / Mobile:
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Email Address:
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Date of Birth:
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Pilot Rating:
Advanced
Intermediate
Novice
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Total hours airtime:
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Insurance - Name & number:
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Glider Make / Model / Size:
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Enquiring about XC clinic for:
27 - 30.7.2006
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I require accommodation:
Yes
No
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I prefer:
Camping
Pension Sytle
Hotel
Other
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Radio frequency range:
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I require transport/pickup:
Yes
No
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Blood Type:
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Next of Kin Telephone:
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Next of Kin:
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