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Cruising Yacht Club Of Australia

cyca@cyca.com.au

Form Section 1

Captain John Piper Regatta - 21 & 22 July 2018

Entry Form

Address
Form Section 2

Team Information

Skipper Details:
Skipper Details
Medical Information
Emergency Contact

Crew Details
Medical Information
Emergency Contact

Crew Details
Medical Information
Emergency Contact

Crew Details
Medical Information
Emergency Contact

Crew Details
Medical Information
Emergency Contact
Form Section 3

Payment Options

Regatta entry fee - $550.00 AUD Note: Credit Card details will be taken for the Damage Deposit of $600.00

Payment Options

Account Name: Cruising Yacht Club of Australia

Bank Details: Westpac, Sydney 

SWIFT: WPACAU2S

BSB - 032 000

Account No. - 291078

Reference: "Event Name" - "Yacht Club" entry fee

Credit Card Details
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