Booking form * required fields

Name    
First Name *
Last Name *
Email Address *
Email Copy Tick, if you want to receive o copy of the submitted form
Date of Birth *
Address
Street *
City State ZIP *
Country *
Phone numbers  
Home
Business
Fax
Mobile
Gliding experience
Flights                         

total

  *  last year *
Hours                          

total

  *  last year *
Cross country flights 

total

  *  last year *
Launch endorsements       *  
Self Launch & Turbo expierence       *  
FAI Badges   *  
FAI 1000 km badge    
Recent flown gliders      
Glider 1 *
Glider 2 *
Glider 3
Booking requirements
Option 1 *
Option 2 *
Option 3
1st flying day *
Last flying day *
1st flying day    (option 2)
Last flying day  (option2)
Questions and remarks
 
The booking will be confirmed after a down payment of 40% of the rental costs (per glider) into our Bank Account with the :
Commonwealthbank, 167 Sangerstreet, Corowa, NSW 2646, Australia
BIC code Commonwealth Bank   CTBAAU2SXXX
Branch (Office): 06 2527
Accountnumber: 1007 3547
Accountname: Murray Valley Soaring Club Ltd
Please mention " down payment for ,, your name,, " (thank you on behalf of the bookkeeping)