Stoneways VPRS National Championships Application Form

Stoneways VPRS National Championships Application Form
I agree to be bound by the current ISAF Racing Rules of Sailing (RRS), the RYA prescriptions to the RRS and the Sailing Instructions. I declare that my yacht will be insured against Third Party risks to the sum of £3,000,000. I agree to receiving email messages from supporting sponsors (we will not pass your email address or other personal information to any other organisations). *

Yes
What is the name of your yacht? *
What is the sail number of your yacht? *
What is the make and model of your yacht? *
What is the LOA of your yacht? *
How many crew will be onboard? *
What is the owners name? *

First Name Last Name
What is the skippers name (if different from the owner)?
What is the owners address? *

Address Line 1

Address Line 2

Town County

Postcode
What is your preferred contact number? *
What is your preferred email address? *
Do you require a new VPRS certificate? *

Yes No
What is your VPRS rating, if you have one already?
How many places at the VPRS Class Dinner on Saturday 28th August do you require? *
Entry Fee - £20.00

VPRS Certificate (if required) - £20.00

VPRS Class Dinner - £25.00 per person
Total to Pay £
Preferred payment method for your entry fee, VPRS Certificate (if required) and VPRS Class Dinner is via online bank transfer:

Miss Ruth Emma Kelly

Sort Code: 09-01-28

Account Number: 57848982

Reference: VPRS Nats (Yacht Name)

Alternatively you can make out a cheque payable to Ruth Kelly, 2 Ratcliffs Garden, Shaftesbury, Dorset, SP7 8HJ.

Should you have any difficulties completing this form, please do not hesitate to contact Ruth Kelly on 07808 878373 or Keith Lovett on 07483 803052.
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