PILOT REGISTRATION IS CLOSED FOR MVBR 2008
2008 MVBR Pilot Registration Form (web version)
Please return this form, with your pilot fee check made out to “MVBR”, by Nov 27, 2007
Mailed to: MVBR c/o Patti Havstad, P.O. Box 7683, Las Cruces, NM 88006
This form will be available on line after Oct 22 ’07 at www.mvbr.com , and can be sent electronically to phavstad@nmsu.edu , but the registration fee check will still need to be sent snail mail post-marked no later than Nov 27, 2007.
PLEASE PRINT OR TYPE THE INFORMATION BELOW.
PERSONAL INFORMATION
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Name
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Phone |
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Address
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Fax |
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City / State / Zip
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Cell |
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Pilot Certificate No. PP or CP (circle one) |
Date of Last Flight Review
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E-mail Address
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Circle one: Sat. Afternoon fun flight Glow Both |
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Jacket Size: M L XL XXL (circle one) |
Shirt Size: M L XL XXL (circle one) |
BALLOON INFORMATION
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Name |
Make / Model
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Year |
Size
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Registration No. |
Date of Last Annual
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Description
If possible, please email a picture of your balloon, with the balloon name included, to phavstad@nmsu.edu. |
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INSURANCE INFORMATION
To expedite registration, please send proof of insurance and copies of logbooks with this registration.
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Company Name
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Phone No. |
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Insurance Agent |
Phone No.
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Address
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Policy Expiration Date
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SPONSORSHIP INFORMATION
If you have a sponsor, please fill in the name of your sponsor below. If you are going to self-sponsor, the fee is $420.00 (early bird before Oct 31 ‘07), $445.00 (after Oct 31 ‘07) for non-corporate or $600.00 fee for corporate along with your $75.00 registration fee.
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Sponsor Name
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" …………………………………………………………………………………………………………………..
Clip and save this information before mailing in your pilot registration form
HOTEL INFORMATION
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To make reservations at The Mission Inn Best Western, 1765 S. Main, Las Cruces, 88005 Call: 505-524-8591. Ask to be put in contact with Belinda. State that you are a PILOT with the Mesilla Valley Balloon Rally * see note below for extra (crew) rooms
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To make reservations at La Quinta, 790 Avenida de Mesilla, Las Cruces 88005 After Oct 18, call 505-524-0331. State that you are a PILOT with the Mesilla Valley Balloon Rally * see note below for extra (crew) rooms
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* Please make sure that the hotel understands that any extra rooms that you reserve are in addition to your pilot room. The fee for crew rooms is $56.00 per night plus tax at both hotels.
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