January 23, 2010
OPEN HOUSE / JOB FAIR
REGISTRATION FORM
This is a free event sponsored by
www.climbto350.com
in association with
Aeroservice Aviation Center
LAST NAME
FIRST NAME
MIDDLE NAME
STREET ADDRESS
ADDRESS
COUNTRY
CITY
STATE
ZIP
PHONE
CELL
E-MAIL
CERTIFICATES HELD
Certificates Held Private Pilot Commercial Pilot Airline Transport Pilot Flight Engineer Airframe and Powerplant Aircraft Dispatcher
TYPE RATINGS HELD (if any)
TOTAL TIME
BY SUBMITTING THIS FORM I AM CONFIRMING MY ATTENDANCE TO THE OPEN HOUSE / JOB FAIR ON
