First name

Surname

Address

Address

Town/City

Postcode

Home Telephone

E-mail Address

Are you a member of a club (State)

Name of Model

Model Type / Class

Pennant No. (Ident. No.)

Model Length (Inches)

Beam (Inches)

Scale     1:

Are you the builder of the model

Has the model won here before

Tx Frequency Band

Tx Channel / Frequency

Brief description of model

& full size counterpart if any.