Regional Entry Form

[lplehmann]

2007 REGION NINE REGIONAL CONTESTS
ENTRY FORM
Designate which contest(s) you would like to enter:
____ 2007 Regional Championship ($15 entry fee)
____ 2007 Yearlong Cross-Country Contest (No Fee)
PLEASE NOTE ANY NEW ADDRESSES, NUMBERS OR GLIDERS

Pilot Name____________________________________________________________
Address_______________________________________________________________
________________________________Zip________
Home phone:_____________________________Cell phone_________________________

Work phone:______________________________
E-Mail___________________________________ FAX #_________________________
USHGA#__________________ Rating__________Total Hours_____________
Approx. Total Region 9 XC miles?______Longest XC East of Mississippi?________
Open/Sport/Rigid/Paraglider? (circle one)
Glider Type_______________________________________________________
If you don't have regular Saturdays and Sundays off, what are your off days?________________________________________________________________________





If entering the Regionals, please return the completed form with a $15 check made out to my legal name:
Lawrence Lehmann
5811Elgin St.
Pittsburgh, PA 15206
Yearlong Contestants can simply email/fax/mail their form. There is no fee.
FAX 815-301-9418; e-mail: lplehmann@msn.com