Pilot Registration
Keystone Indoor Electric Fly
October 15, 16, and 17, 2010
____ Pre-Registration fee $25.00 ____ At the Event $35.00
Date: ________________ One Day Pilot Registration $20.00
Name: _________________________________________________________________
Address: _______________________________________________________________
City_____________________________State_______________Zip_________________
Phone Number (____) ___________________________________________________
Email __________________________________________________________________
A.M.A. #________________
Frequency(s) ________________________ Spread Spektrum ___________________
Payment Method
Cash____________ Check #_________ Amount Paid_____________
Make Check payable to Muncy Indoor Flyers / Treasurer.
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2010 KIEF Pilot Receipt
Date_________ Amount Paid____________ Cash______ Check #______
Please keep this receipt as proof of registration for the 2010 Keystone Indoor Electric Fly.
Muncy Indoor Flyers 30 West Second Ave.
Most of all have fun!
Thank You