Phuket King's Cup Regatta

Untitled Document

Dates: 1st - 8th Dec 2012.

Entry Form

To enter in the Phuket King's Cup Regatta please follow the steps below:

I.   Fill in the entry form below and click "submit".

II.   Once submitted, you will be shown the payment amount and proceed to payment gateway.

Notes:
1. The entry fee is 17,600 Baht for all classes and must accompany the Entry Form.

Entries must be received by 1 November 2012. For late entries after 1 November 2012, the entry fee is 25,000 Baht.

2. The entry fee includes participation of skipper. An additional Crew fee of 4,500 THAI BAHT is payable at or before registration for each additional crew member and supporter participating in official functions and parties of the Regatta.

3. Entries will not be confirmed until payment has been received.

ENTRANT

Please provide details of entrant or skipper name(s) as you would like them to appear in the official entry list, results and publicity material:

Skipper or Entrant *:

Name and address of entrant for pre-regatta correspondence (one name only)

First Name *:

Surname *:

Address Line 1

Address Line 2

Town :		Tel Home :
Country *:		Tel Work *:
Postcode :		Mobile :

Email *:

Details for all boats

Boat name for Phuket King’s Cup Regatta *:

Boat’s registered name
(If different):

Class:

Sail number and letters *:

Hull Colour :

Year Built :

No. of Crew:

Details for handicap boats only (IRC, SMS, Classic, OMR)
Class:
IRC/SMS/OMR/Thaicap Rating (if known)
Designer:	If Other
Design Type/Model (eg. Elan 33)
Length Overall	M Feet
Draft	M Feet
Declared Crew Weight (OMR Only)

Details for One-Design Applications
Class:	If Other:
Design Type/Model (eg. Elan 33)
No. of Crew (if known):
Declared Crew Weight :
Yacht Builder :
Certified Sails :	Yes No

Declaration
I agree to be bound by the Racing Rules of Sailing and all other rules that govern this event. In particular I have read Paragraph 14 of the Notice of Regatta and agree to its provisions and that my boat will conform to its requirements throughout the event. I understand and agree that the information given on this form and also the race lists will be maintained on the ‘Phuket Kings Cup’ database. Note: Paragraph 14 is the insurance specification.
To help us prevent abuse of this site, please type the 4 NUMBERS ONLY you see in uzm2vr2z76 in the order they appear. ENTER NUMBER/S ONLY:

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