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

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.