B204/5 Airframe - T53 Engine Series Registration Form

B204/5 Airframe - RR T53 Series Engine Registration - Mar 2020

Fill out the form carefully. Payment is required ten days prior to course start date.
B204/5 Airframe/ T53 Engine Mar 4 - 16 = $4,898.00B204/5 Airframe Only Mar 4 - 12 = $5,998.00Honeywell T53 Engine Only Mar 13 - 16 = $2,898.00
Course Location

Advantage Helicopters 6301 Captain Bailey Way, Vernon, BC.
How much experience on the type?*
Number of years
Name On Certificate*
Type exactly how it should appear
Legal Name*

First NameLast Name
Birth Date*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Mobile Or Preferred Number*

Area CodePhone Number
Your Personal Email*

Confirmation Email
Emergency Contact Name *
Emergency Contact Name
Emergency Phone *
Emergency Contact Phone
Please complete company information if course is paid by employer or company
Company
Work Phone Number

Area CodePhone Number
Your Work Email Address
DOM/PRT
Name
DOM/PRT
Phone
DOM/PRT
Email
WestPoint Helicopter Industry Services Inc.
1215-C - 56th St. Box 18053, Delta, BC V4L 2B0
Phone: 604 271-4354
Should be Empty:

B204/5 Airframe - RR T53 Series Engine Registration - Mar 2020