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TO BE FILLED OUT BY OWNERS OF RACING AIRPLANES (Entry will not be accepted unless complete information is given) -------------[[image]] star [[image]]----------- [[column 1]] Name of Owner Make and name of Airplane C. A. A. Number Date of Manufacture N. A. A. Racing Number Make of Engines Type of Engines Bore Cubic Inch Displacement Total Engine Hours Empty Weight Span [[column 2]] Address Type Total Flying Hours Date of last complete Overhaul Color of Airplane Number of Engines Serial Numbers Stroke Supercharger Type Hours since last overhaul Wheel Size Wing Area [[full page width]] Propeller (Metal, Wood or Plastic) (Fixed or Adjustable) .... Max R. P. M. Manufacturer .... Model Wing Loading Including Area displaced by Fuselage .... lbs. Total Gasoline Capacity .... Oil Is Craft Equipped with Lift Increasing Flaps? .... Seat Belt? Shoulder Harness .... Parachute Landing Gear (Retractable or Stationary) Has Airplane been approved previously by a Race Technical Committee? Where and When? Has Airplane been modified in any way since such approval? Give modification details Signature of Owner