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ENTRY FORM

 

 

PAYEMENT PROCEDURE
The entry fee is € 25,00 for single handed dinghies and  € 30,00 for double handed dinghies
Payment has to be done in cash money during the registration in
WSKLuM vzw, Halvemaanstraat, 2b,8620 Nieuwpoort
 

OPEN BELGIAN CHAMPIONSHIPS 2010 - 420, 470, Cadet, Fireball, Splash
Regatta: Snipe
 

18 - 19 September 2010 in Nieuwpoort Belgium

ENTRY FORM

National Letters and Sail Number  
Class  
Club  
Helmsman Family Name   
Helmsman 1st Name  
Helmsman Sex  
Helmsman Date of Birth  ddmmyyyy  
Helmsman Licence Number  
Helmsman Address  Street              

 House nr              

 Postcode   

 Town       

Helmsman Country  
Crew Family Name  
Crew 1st Name  
Crew Sex  
Crew Date of Birth  ddmmyyyy
Crew Licence Number  
Crew Address Street   

 House nr   

 Postcode   

 Town        

Crew Country  
Insurance company  
Policy number  
Email  
Mobile phone  
Declaration  
   

 

 


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Laatst bijgewerkt / Dernière mise à jour / Last update: 09/06/2010