Swiss Moth Update Member Information
This is a small survey for the Swiss Moth sailor in order to help the class to keep them informed
First Name *
Your answer
Last Name *
Your answer
Birthday
MM
/
DD
/
YYYY
Mail *
Your answer
Phone Number *
Your answer
Postal Address *
Your answer
City Code *
Your answer
Owner of a Moth? *
Brand
Sail Number
Your answer
Club
Your answer
Swiss Sailing License NR
Your answer
Language *
Required
Membership *
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