MYCQ

Entry Form for the Australian Multihull Offshore Championship 2008
  
Name of Yacht
Owner/Skipper
First Name
Last Name
Street Address
Address (cont.)
City/Suburb
State
Post Code
Phone, home  
Phone, work  
Mobile
Email Address
Yacht Details
Sail Number
Type of Yacht Cat
Tri
Proa
LOA m
Beam m
Draft m
Displacement kg
Hull Colour
Deck Colour
Spinnaker Colour
Designer
Model
Type of Rig
Largest Sail Area, Mainsail sqm
Largest Sail Area, Genoa sqm
Largest Sail Area, Spinnaker sqm
Largest Sail Area, Screacher sqm
No of Engines
Engine Fuel Diesel
Petrol
Engine Type Inboard
Outboard
VHF Radio Yes
No
VHF Radio Antenna Location
Current Club Arbitrary Handicap
@ Yacht Club Name
Other Documents Required
Please submit:
  • Crew List
  • Indemnity Agreement
  • Safety Check List
  • Photo of Yacht
Declaration
I agree to be bound by the rules and conditions of the race and enclose prescribed fees. I declare that the vessel nominated complies with the safety requirements of the Race as identified in the Sailing Instructions. I agree to indemnify the Multihull Yacht Club of Queensland, associated Yacht Clubs and the event organizers from all liability whatsoever arising from my participation in the event.
I agree to these conditions  Yes
No
Race Fees
Early Bird:  $320 Entries close Friday 15th Feb 2007 
Sleepy Bird:   $370 Entries close Friday 7th March 2007
Late entry:  $420 Entries close Friday 14th March 2007
Payment Method
Cheque or Money Order Please mail to:

The Race Director , MYCQ, 126 Hargreaves Ave Chelmer. Qld 4068
Electronic Transfer
Account Name Multihull Yacht Club Inc
Bank Suncorp
BSB 484-799
Account No 08-388457-0
Credit Card

Note: 
A 2% fee will be added for Credit Card payments.

 Note:

We do not have a secure server.

Please ring your credit card details to Mike Hodges on 0411 888 850.

8/12/07