IAC Chapter 19

The Best Aerobatics South of the Mason-Dixon Line

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2009 Mason-Dixon Clash from IAC19

International Aerobatic Club
Official Contest Entry Form

(Please fill out all lines. The form will be ready for your signing at the contest)



First Name
Last Name
IAC Number
Address Line 1
Address Line 2
City
State
Zip Code
E-mail Address
Birth Date:
Daytime Phone() -
Cell Phone:
IAC Chapter
FAI Sporting License
License Type
License Number:
Insurance Company
Insurance Type
Insurance Amount
Aircraft Owner Name
Aircraft Owner Phone Number
Aircraft Owner Address
Aircraft Owner Address2
Aircraft Make/Model
Aircraft "N" Number
Grass Roots Qualified Y/N ?
Type of Airworthiness Exp./Acro ?
Engine Make/Model/HP
Competition Category
First Time Competitor Y/N ?
Patch Only (category) ?

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