NAME

ADDRESS

CITY

STATE

ZIP CODE

TEL. NO.

RV OR TENT CAMPING? RV-$20 PER NIGHT WITH HOOK-UPS RV-$10 PER NIGHT WITHOUT HOOK-UPS TENT-$7 PER NIGHT PER TENT CAMPING PLEASE SELECT ONE.

HOW MANY NIGHTS?

DO YOU REQUIRE CATERED EVENING MEALS? ($7.00 PER MEAL PER PERSON) WILL ALSO SERVE BREAKFAST AND LUNCH
YES NO

ARE YOU SPORT PILOT

PLANE BRAND/MODEL/COLOR:

N-NUMBER

MONTH/YEAR OF LAST INSPECTION

IS THIS YOUR FIRST VISIT WITH US? YES   NO

GENERAL INFORMATION:

PILOT REGISTRATION COST FOR 2009: $40.00.

IF YOU WISH TO PREPAY, PLEASE MAKE CHECK PAYABLE TO:

SHO-ME CHUTE FLYERS CLUB

AND MAIL IT ALONG WITH YOUR FILLED OUT FORM TO THIS ADDRESS:

BAUGH FLIGHT PARK
6079 INCLINE ROAD
REEDS, MO. 64859

OR, YOU CAN PAY BY CASH, VISA OR MASTERCARD WHEN YOU ARRIVE FOR THE
FLY-IN.