SOUTH STAR ONE - TWO

ENTRY FORM

Closing date: 14 November 2003 at 15h00 Late Entries: 21 November 2003

Entry Fee: R750.00 Late Entry Fee: R1000.00

NAME OF YACHT ____________________________ SAIL NUMBER______________________

DESIGN / TYPE ( Muira, Simonis, Farr, ect. ) _____________________________________________

IRC 2003 Certificate No ______________________ IRC 2003 RATING __________________

PORT of REGISTRATION _____________________________________________________________

OWNER(S) _________________________________ SKIPPER _______________________

SKIPPERS QUALIFICATION _______________________________________________________

YACHT CLUB OF WHICH A MEMBER __________________________________________________

CATEGORY ENTERED SINGLE HANDED__________ DOUBLE HANDED__________

I understand and acknowledge that this entry will sail at entirely its own risk, that the onus on whether to start the race and to continue to race lies entirely with the skipper, and that none of the organisations or persons concerned in the running of the race accept any liability for damage or injury, material or personal, incurred during the race or at any other time, however arising.

SIGNATURE OF OWNER / SKIPPER _______________________ DATE ___________________

POSTAL ADDRESS ______________________________________________________________

TELEPHONE NUMBERS: Office ____________________ Home _____________________________

Fax ___________________ Cell ___________________ E-mail ______________________

The Entry Fee is payable to SOUTH STAR ONE - TWO.

This may be posted, together with this Entry Form and Handicap Information, to:

The SOUTH STAR Race Secretary PO Box 128, Plumstead, 7801.

Telephone: (021) 762 2314 – Fax (021) 762 2314

Or deposited directly into the SOUTH STAR Bank Account:

First National Bank, Houtbay Branch, Account Number 62052303973,

Bank Branch Code 204009