South
African Sailing (Western Cape)
Provincial
Stadt 23 Championships
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Entry Form
________________________________________________________________________
The Regatta Secretary
PO Box 76
Villiersdorp
6848
In terms of the Notice of
Regatta, please enter the boat:
Sail
No...........................................................
Name of
Yacht...................................................................................
in the South African Sailing
(Western Cape) Provincial Stadt 23 Championships scheduled to take place at
Theewater Sports Club from 28th
December 2002 to 5th
January 2003 on the weekends only.
Name of
Skipper...................................................................................................................(Please
Print)
Club of which a member
................................................................................................................................
Names of
Crew............................................................................................................................(Please
Print)
……………………………………………………………………………………………
……………………………………………………………………………………………
I am a member of good standing
of the STADT
23 Class
Association.
SA Sailing Registration or
Measurement Certificate No................................ (copy attached).
I declare that -
No alterations that could affect
this certificate have been made since the certificate was issued.
I agree to be bound by the rules
of the ISAF, the SA Sailing prescription thereto, this Notice of Race, the Sailing Instructions and the Rules of
the Class Association.
I enclose my entry for R 100.00.
(please refer paragraph 5)
Signed:..........................................
Owner / Skipper
Date: ................................
Address:..........................................................................................................................................................
Telephone..............................................Fax.............................................Mobile...........................................
E-mail address (Please print
clearly)...............................................................................................................