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Cristopia Energy Systems F16 National Championship Entry Form
When: 16-17 February 2019
Event Address: Palm Beach Sailing Club
Contact us at 0411 426506 beau@evolucent.com.au
Email address *
Boat type *
Crew Type and entry fee - Includes association fees. PRICE REDUCED!
Boat Name
Your answer
Sail Number
Your answer
Skipper Name *
Your answer
Skipper Gender *
Skipper Date Of Birth *
MM
/
DD
/
YYYY
Skipper Phone Number *
Your answer
Skipper AS Number *
Your answer
Third Party Liability insurance policy number *
Your answer
I understand that I will have to pay entry fee of upon registration *
Required
Crew Name
Your answer
Crew Gender
Crew Date of Birth
MM
/
DD
/
YYYY
Crew Phone Number
Your answer
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