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Cruising Yacht Club Of Australia
cyca@cyca.com.au
CYCA Satellite Phone Declaration
Boat Name
Race(s) - select all that apply
Rolex Sydney Hobart Yacht Race
Noakes Sydney Gold Coast Yacht Race
Flinders Islet Race
Tollgate Islands Race
Bird Island Race
Cabbage Tree Island Race
Ponant Sydney Noumea Yacht Race
Primary Satellite Phone Number
Make and Model
Alternative Satellite Phone Number (if applicable)
Make and Model
Boat Email Address
Declaration
I confirm the above satellite phone complies with AS Special Regulation 3.25.1(a)(ii)
Sign Here
First Name
Last Name
Email
Choose how to sign
Draw
Type
I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.
disregard this