Richard Bölling

Im Belli 41

78086 Brigachtal

GERMANY

Registration

I confirm to attend to the

20. Anniversary of the International Model Balloon Meeting in Brigachtal

which is held in the time from 14. to 16. of October 2005

Name:
Street:
Zip Code, Town:
Telefon privat:			Telefon buisness:
Balloon Name:			Email:
Frequency	27 MHz	35 MHz		40 MHz	41 MHz
Channel:
Alternative:

The entry fee is 30,- Euro for each balloon. Propane is available, when butane is

Needed, please bring it yourself.

I ask for a reservation of:

____ single rooms ____ double rooms ____ beds in youth hostel

o from Friday to Saturday o from Saturday to Sunday

I ensure to have the model well insured and especially free the organizer from all

kind of liability against third parties or myself, for any damages I have caused. I

ensure only to start while I have my own fire extinguisher handy.

I will present my own video o or dia o please mark with a cross

Town, Date: ________________________________________________

Signature: ________________________________________________