Transport Canada

APPLICATION FOR REGISTRATION OF
ULTRA-LIGHT OR ADVANCED ULTRA-LIGHT AEROPLANES

Form 26-0521

Aircraft or Kit Manufacturer

Quad City Ultralight Aircraft Corp.

Registration Marks

C-I???

Model Designation

Challenger II

Serial Number

CH2-????-LSS-L65-????

Gross Wing Area

166 sq ft

Aircraft is subject of

X Bill of Sale

Country and Year of Assembly

Canada - 20??

Aircraft - Configuration

X Land

Proposed Base of Operation
(City & Province)

????, ??

Launch weight

n/a lbs

Max. Take-off Weight

1060 lbs

Engine Manufacturer

Rotax 582

Number of Engines

1

Empty Weight

475 lbs

Stall Speed

34 mph

Number of Seats

X Two Place Training

Category of Engine

X Piston

Rated Engine Power

65 hp

Advanced ultra-light?

X Yes _ No


Enter owner information.


Enter information if owner is incorporated.


X I am / we are the sole person/entity that has legal custody and control of the aircraft described herein.


Sign and date.