2008 Carolina Wave Project

Name:     ________________________________________________________________

Address :________________________________________________________________

City:      _____________________________ State: ______ Zip Code: _______________

Home Phone:  (_______)___________________

Mobile Phone: (______ )___________________

Aircraft N#: ______________ Aircraft Type:______________

Date of your last BFR: ________________

Proposed date of arrival: ______________

Entry fees:   Package A $40.00      �

                  Package  B $80.00      �

Extra Hangar Nights (Applicable only to those who purchase Package B): __________

Number of nights you will be camping on the field:        __________

Requested Aero-Tow speed: _________ (70mph is our standard speed)

Emergency Contact Name: ________________________________________________

                    Phone:             (_______)______________________

Are your equipped with an ELT?:  Yes         No

Please attach proof of current insurance with your completed application

Speedbird Aviation Services

3566 Morganton-Lenoir Airport Ave.

Morganton, NC 28655

(828)757-0099 Fax: (828)758-8231