| Name:
|
|
Citizenship |
| Crew
Position: |
|
Passport: |
|
Pilot
Certificate:
|
|
Expires: |
|
| License
Type: |
|
Mailing
Address: |
|
| Ratings |
|
E-mail: |
|
Engine
rating
|
|
Country: |
|
| Total
hours: |
|
City: |
|
| Total
hours in aircraft
you fly: |
|
State: |
|
Comunications
|
ZIP: |
|
| Phone
(Home): |
|
If
Emergency |
| Phone
(Work): |
|
Name: |
|
| Phone
(Mobile): |
|
Tel:
|
|
| Fax: |
|
Other
Name: |
|
| About
Your Flight |
Other
Tel: |
|
I
Will Be Flying:
|
|
Pilot
required
documentation >
|
A copy of your |
Aircraft
operation:
|
|
Pilot's
license |
|
| I
Will Be Flying the Rally as: |
|
Medical
license |
|
Initial
Flight Plan
|
Radio
License |
|
| Estimated
distance to Rio de Janeiro |
|
Proof
of aircraft insurance. |
|
| Estimated
route to Rio de Janeiro |
|
Face
page of your passport |
|
Local Sponsor (maximum two)
|
|
|
|
The
registration will be validated when the registration form, the
required documentation
and
the limit inscription date of July 15,
2008 is respected.
|