|
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 |
|
| VHF Radio
Performance (good, poor, etc) |
|
| HF Radio |
Yes
No
|
| Satellite Phone |
Yes
No
|
| Satellite Phone No
if appropriate |
|
| Current Club Arbitrary
Handicap |
|
| @ Yacht Club Name |
|
| Are you entering
the PR Handicap Division |
Yes
No
|
| Are you entering
the OMR Handicap Division |
Yes
No
|
| Do you have a
current OMR Rating on the MYCQ Website |
Yes
No
|
|
| 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: |
$280 Entries close Friday
20th Feb 2009 |
| Sleepy Bird: |
$330 Entries close Friday
6th March 2009 |
| Late entry: |
$380 Entries close Friday
20th March 2009 |
|
| 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.
|
