Registration form IFFR Benelux Fly-In 27- 29/05/2022

Please complete by April 1st 2022 at the latest!
Details about the hotel, the full program and budget of the weekend, you can find here.

Name *

First

Middle

Last

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Telephone number:

Mobile phone:

Email *

Please confirm email: *

Aircraft type and registration:

ETA EBZW (LT):

Alternate:

Name participant 1: *

First

Last

Name participant 3:

First

Last

I/We will travel by

Arrival date

Departure date

Special diet wishes:

Will participate in the gala dinner only: