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EB Helicopters :: Flight Training :: Potential Student Information Form
Our Flight Training Unit
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Potential Student Information Form
Personal
Name
Street Address
Town/City
State/Province
Postal Code
Country
Phone
Email Address
Date of Birth
Age
Citizenship
Requested Course
please specify your requirements.
Commercial
Private
Alternate Commercial
Alternate Private
Aircraft Type Rating
Robinson R22
Robinson R44
Bell 206B
Other (specify)
Starting date
I would like to secure a spot on the course. Please find enclosed a cheque for the amount of:
I do not wish to secure a spot on the course at this time, you will not find a cheque enclosed.
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