IVSM ONLINE REGISTRATION FORM

International Vintage Sailplane Registration

There were errors on the form, please make sure all fields are filled out correctly (see below).

Registrant

    
First Name Last Name
Address Address 2
City State Postal
Nationality Country    
Home Phone Cell Phone
Email 1 Email 2
Certification

Emergency Contact

    
First Name Last Name
Phone Phone 2
Relationship Email

Memberships

    
Member of Soaring Society of America? Yes   No
Member of VSA? Yes   No
Member of NSM? Yes   No

Crew Information

    
Number of Crew  

Sailplane Information

    
Manufacturer Model
Year Number of Seats
Registration # Are you the owner Yes   No
Insurance Carrier Policy #

Camping Information

    
Number of Campsites    
Number of Campers    

Payment

    
Pilot @ $100.00 ea.
Secondary Pilot @ $40.00 ea.
Crew/Non-Flying @ $40.00 ea.



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There were errors on the form, please make sure all fields are filled out correctly (see above).


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