2018 NZ Laser Nationals Entry Form
This form is for entry to the 2018 NZ Laser Nationals at Naval Point Club Lyttelton
from Wednesday 17th to Sunday 21st January 2018.

** Each sailor must complete this form separately.

If you are not a current member of the NZ Laser Association you can indicate that below and pay a combined membership and nationals entry. If it's too late to post NZLA membership packs you will get them at the regatta registration.

For more information, check the NZLA website www.nzlaser.org
or email us at secretarynzlaser@gmail.com.

First Name *
Your answer
Last Name *
Your answer
Gender *
Sail Number *
Set 'n/a' if not yet known
Your answer
Fleet *
Date of Birth *
MM
/
DD
/
YYYY
Email *
Your answer
Phone *
preferably a mobile you will have at the nationals
Your answer
Postal Address *
Please enter full street address including city or town - we do mail out to this address
Your answer
Nationality
If not NZL
Your answer
Yacht Club *
Your answer
ISAF Sailors Code
if registered with ISAF
Your answer
Coaching Clinic
Select if you wish to attend the free coaching clinic for the 2 days prior to racing. See the NZLA site for details http://www.nzlaser.org
Laser Association Membership *
Indicate if you are a member of the NZLA or an overseas Laser Association. Otherwise you can join the NZLA at the same time as this entry for an additional $60 membership fee.
Other sailors you are paying for
If you are also paying nationals entry or membership for other sailors, please enter their name(s) below. But each sailor must still complete this entry form separately.
Your answer
Total Amount You Will Pay *
Entry for the National Champs is $175 for each sailor. If joining the NZLA at the same time, add a $60 membership fee, for a total of $235 for each sailor. If paying for other sailors, please name them above. But each sailor must still complete this entry form separately.
Your answer
Intended Payment Method *
Please use Online Bank Payment into the NZLA account 12-3086-0109480-00. Put your name and sail number in the reference fields. It's much easier for our busy secretary if you use online banking. But if you have to use a cheque, post it to: The Secretary, New Zealand Laser Association Inc, PO Box 46-243 Herne Bay, Auckland, New Zealand.
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