Gary Lenius

416 Western Ave

Waterloo, IA 50701

Check dates you will attend:

o                February 21, 2009

o                February 22, 2009

Pilot Pre-registration - entry fees to be determined

$00 for one date

$00 for both dates

Make checks payable to:

“E/xpo in the UNI Dome”

Day of Event - entry fees to be determined

$00 one-day pilot registration

$00 two-day pilot registration

$00 Spectators & Assistants

(children under 12 are free)

Name:_____________________________________________________________

AMA Number (required):______________________________________________

Address:____________________________________________________________

City:______________________________ State:________ ZIP:________________

Phone:______________________________________________________________

Email:_______________________________________________________________

o  R/C Channels:_______________________ Spread Spectrum:  o  YES   o   NO

Must show current  AMA Membership  card at check-in.  Pre-registration must include full payment.

Maximum fixed wing aircraft flying weight is 20 oz.          120v AC available.

Tables are not provided but are allowed on the stadium floor.

Registration must be received prior to event.

No refunds unless event is cancelled.