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Glider
Reservation Form ----> DownRoad
Name.................................................................
Date of Birth .........................................
Club.................................................................................................................................
Address............................................................................................................................
Country............................................................................Telephone...................................
Fax....................................................................
E-mail.........................................
Flying
Experience
Total Flying Hours .........................................
Flying Hours in
Australia..............................
Date of your last Flight..................................... Hours flown in the last Season ......................
Type of Aircraft
flown...................................................................................................................
Do you have a current
aviation medical certificate? * Yes / * No.
If No, please state the reason:
..........................................................................................................
Please include a copy
of the last page of your logbook, if you did not fly with us in the
last season.
Badge Achievements
....................................................................................................................
Your Goal whilst in
Narromine (purpose, task, etc.)
.....................................................................
TYPE OF GLIDER
REQUESTED TO BOOK
1st
Choice...................................................................
2nd Choice
..............................................................
Date commence booking
............................................. Date finish booking
........................................................
Deposit:
A$ 500.00
Method of Payment:
* Bank Transfer to Soar Narromine, National Australia Bank,
Narromine 082-753 Account 03-646-1861,
Swift: NATAAU3302S;
* A$ Bank Cheque;
* Credit Card Telephone Order [* Mastercard * Visa ] (Add 3% for
credit card charges).
Date of Payment
...................................
or Details of
Credit Card: Credit Card Holder, Credit Card Number and Expiry Date
...................................................................................................................
Booking request valid on receipt of deposit which must be paid within 4
weeks after reservation.
I agree to wave
all claims against Soar Narromine Pty Ltd and any person assisting in
the organisation either by me or any other person claiming through me
or on my behalf for any property or personal damage whatsoever.
I agree to indemnify and hold harmless this entity and persons in
respect of their actions and inactions in carrying out any activity
relating to Soar Narromine Pty Ltd or any persons assisting in the
organisation to the extent that any circumstances relating to any claim
have been contributed to by me.
I agree to pay up to a maximum of A$ 2,200.00 if a damage to a glider,
its equipment or any aircraft occurs due to my negligence or during an
outlanding.
I understand, whilst flying, Soar Narromine's insurance may indemnify
me as pilot in command for all sums I shall become legally obligated to
pay as damages to Third Parties (excluding Passenger Liability) up to a
maximum of
A$ 2,000,000.00 only.
I understand that participating in any activity relating to Soar
Narromine Pty Ltd and any person assisting in the organisation occurs
entirely at my own risk.
Signature
....................................................................................................,
Date...............................................……
ACCOMMODATION
* Motel * Others...................................................................................................................
* Single * Double *
Triple * Non-Smoking * Smoking;
Check In Date ..............................
Check Out Date ..............................
TRAVELLING TO
NARROMINE
* By air from Sydney
to Dubbo * By bus to Narromine * By car * Others;
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