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Whirli Bird in ParadeSpecial Events Request Form

Day of Event:
Arrival Time:
Presentation Time:
Location:
City:
Setup Location:
Group or Organization:
Contact Person:
Number Expected for Event:
Work Phone:
 Best time to call:
Home Phone:
 Best time to call:


Special Event Agenda:
Parade Fair Health Fair OutReach
LZ Train Aircraft Orientation Medical Orientation Public Tour
Drill Other:
Items Needed:
Helicopter Ranch Registration Display Board Pencils
Coloring Sheets Airplane Recip Maps Banner
WB Stickers LZ Guides Yukon Whirli/Trlr
Brochures - QA Brochures - Business Brochures - Membership
Air Life Staff:
VB WG TG TD
AG FN PFN RT
Pilot Zone Team Volunteers Whirli Crew
Whirli Transport Team Other:

Display Board Shipping Instructions (NO P.O. BOXES!)
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Date to ship: Date to send call tag:
Date / Time to take down display:
SHIP TO:
Name:
Address:
City: State: Zip:
Phone Number:

Additional or Special Arrangements:

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2500 NE Neff Road • Bend, Oregon 97701
541-385-6305 • 800-522-2828

St. Charles Medical Center online
Air Life of Oregon Collections


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