B412 Airframe - PT6T 3/6 Series Engine Registration Form

B412 Airframe - PT6T 3/6 Series Engine Registration - Feb/Mar 2020

Fill out the form carefully. Payment is required ten days prior to course start date.
Two Course Locations

Engine 1st - Feb 19 - 22 Airspan Helicopters Sechelt, BC

Airframe 2nd - Feb 24 - Mar 6 Summit Helicopters Kamloops, BC
B412 Airframe/ PT6T 3/6 Engine Feb 19 - Mar 6 = $7,998.00PT6T 3/6 Engine Only Feb 19 - 22 = $3.498.00B412 Airframe Only Feb 24 - Mar 6 = $6.998.00
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
Your Personal Email*

Confirmation Email
Mobile Or Preferred Number*

Area CodePhone Number
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:

B412 Airframe - PT6T 3/6 Series Engine Registration - Feb/Mar 2020