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Contact Information :
First Name Last Name Title Street Address Address (cont.) City State/Province Zip/Postal Code Country Home Phone FAX E-mail
What licenses do you currently hold?
Type of Licence None Private Aeroplane Commercial Aeroplane ATPL (A) Private Helicopter Commercial Helicopter ATPL (H) Country of Issue Canada USA Australia New Zealand UK Other (please specify)
What courses are you interested in?
Private Helicopter Licence Commercial Helicopter Licence Airline Transport Licence Instrument Rating Mountain Training Conversion from Foreign Licence
What is your approximate age?
Age Under 18 18 to 24 25 to 29 30 to 34 35 to 40 over 40 Height Weight
How did you hear about Heli-College Canada?
Internet search engine Link from aviation site Rotor and Wing Magazine Helicopters Magasine Yellow Pages Word of mouth Former student Commercial Pilot Helicopter Association Listing PCTIA referral
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