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All pre-paid fees are fully refundable if requested in writing by August 15.  Please register all members of your party for identification tag purposes.  Only persons with name tags will be allowed in the pit area and on flight line!

Fees Received Before August 1 - $20.     After August 1 - $25.

* Pilot Name:

* Address

 

* City

* State

                    * Zip 

 

 

Phone

* Email

 

 

IMAA#

                 AMA# 

 

 

Crew

(List ALL others

in your party)

 

 

Number of Aircraft

Names of Aircraft

Frequency Used

 

 

Camping?

Yes     No

Camping Mode

RV/Trailer     Tent    (Check as many as apply)

 

 

Make Checks To:

Henry County Wright Flyers

Mail Checks To:

Dennis Crooks

2628 S. County Road 1200 E.

Rockville, IN  47872

 

 

Please print a copy of the confirmation page for your records after you press submit.