registration form for attending buleleng fly-in 2001
 
 
 
 

 

 

 
   
1. Name of PIC (As in Passport)
2. Email Address   
3. Flying Club / Organization 
4. Country
5.Type of Aircraft or Flight Number
6. Aircraft  Registration 
7. Color of Aircraft  
8. Number of Persons Coming (including  PIC)

 

Name of Co.Pilot/Passengers one name per line please

 

9. Number of Hotel Room Required 
10. Hotel Name

      or Hotel Price Range

11. Date of entering Indonesia territory
12. Point of Entry Indonesia territory

 

Following route

13. Date of Arrival Buleleng or Bali

14. Date of Leaving Buleleng or Bali

15. AVGAS required before leaving Buleleng

Litters 

16. Point of Leaving Indonesia territory

17. Date of Leaving Indonesia territory

18. Others Information