Pilot first name
Pilot surname
Tel home
Cell
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Fax
E-mail
Licence type
Licence number
Medical aid
Membership number
Blood group
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Balloon Busting Y/N
Flour bombing Y/N
Spot landing Y/N
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ENTRY FORM

Please use the form below to submit details of your entry for the Johannseburg Light Plane Club Piper Cub Day at Baragwanath on 13 October 2013

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© The Johannesburg Light Plane Club
JLPC Baragwanath
Syferfontein Airfield, South Africa


www.jlpc.co.za