registration form

1-877-7 FLY LSA Registration Form

To register for a light-sport repairman course, print this form, complete it, and mail it to us.

To register by mail print this form, complete it, and mail it to Rainbow Aviation Services, N 930 Marguerite Ave, Corning, CA 96021

To register by email print this form, complete it, and email it to info@rainbowaviation.com / you may request a phone

response to pay by credit card or note date when you mailed your check and we will save your seat for 7-10 days.

To register by fax print this form, complete it, and fax it to 530-824-0250. Note if mailing check is in the mail or if you would like us to call.

To register by phone print this form, complete it, and mail it to Rainbow Aviation Services, N 930 Marguerite Ave, Corning, CA 96021

and call 530-824-0644 Tuesday- Saturday 9-4:30 PST.

You may either include a check payable to Rainbow Aviation Services (discounted tuition for EAA, or USUA members
or, to secure your reservation sooner, we accept VISA or Mastercard payments by phone 530-824-0644 or 1-877-FLY LSA
Whichever payment method, we need the registration form completed and mailed.

Name as you would like it to appear on your certificate:

___________________________________________

Name for your name badge:

__________________________________________

Address____________________________________

City__________________________________

State_________

Zip______________________________

Phone___________________________________

Email __________________________________

Please Supply the Following Information:

Check One

____Check

____Visa Card

____Master Card

____Money Order/cashier’s ck

Amount paid__________________________

Card#_______________________________________________________________

____________Expiration Date CVC code_________ (3 digits on back)

Course Date________

Course Location______________________

Special considerations:

1. Classes begin promptly at 8:00 AM each day. Attendance at all sessions is required Provisions for make- up time available for three week course only) 2. You must be at least 18 years old,
be a U.S. citizen or permanent resident, and be able to understand, read, and write English.
3. The repairman rating is for Experimental Light Sport Aircraft (ELSA) and will not authorize the ANNUAL CONDITION INSPECTION ON EXPERIMENTAL AMATEUR-BUILT AIRCRAFT.
4. FAA limits the number of students in each class and demand is high. Therefore, your deposit is non-refundable. We will assist you in selling your seat to a person on our waiting list. However, all sales must be handled through Rainbow Aviation Services. I have read and agree with Rainbow Aviation refund policy.

_________________________________

signature

If you wish to pay with MC or VISA we have secure in-store processing. We can be reached at

1-877-7 FLY LSA (1-877-735-9572)

or 530-824-0644 PST between 8 AM to 5 PM

mail: info@rainbowaviation.com