PAYPAL - WA Sharpies Membership Form

AUSTRALIAN SHARPIE SAILING ASSOCIATION (WA DIVISION INC)

MEMBERSHIP, REGISTRATION AND ENTRY FORM - PAYPAL
Eligible competitors shall be a member of an AYF affiliated Yacht/Sailing Club and a financial member of the ASSA (WA)

This registration, entry form and fees must be recieved by an executive member to be eligible for any Association Event. Failure to do so will result in a DNS recorded.
Boat Name:
Sail No.
Home Club

Other
Does your boat carry sponsorship?
Details.
Helmsperson
Full Name

First NameLast Name
Junior? (under 21)
AYF No. (Silver card)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
E-mail
Sheethand
Full Name

First NameLast Name
Junior? (under 21)
AYF No. (Silver card)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
E-mail
Forwardhand
Full Name

First NameLast Name
Junior? (under 21)
AYF No. (Silver card)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
E-mail
Associate Membership
Add Associate member?
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
E-mail
Fees / Divison Nomination
Enter for the following
States Division
Ages shall be calculated as of States Heat 1
Fees
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Adult Membership$40.00 AUD

Quantity

Juniour Member (Under 21)$20.00 AUD

Quantity

Race Fees & Registration Metro$55.00 AUD

Race Fees & Registration Country$10.00 AUD

Associate Member$30.00 AUD

Total $0.00 AUD
Terms and Conditions:

I indemnify MBSC (Inc), EFYC (Inc) & the SHARPIE ASSOCIATION OF W.A (Inc) from and responsibility for injury, loss or damage incurred by myself or my crew or our respective families while preparing for, taking part in or subsequent to. I agree to be bound by the Racing Rules of Sailing, and by all other rules that govern these events and I acknowledge RRS 4, which states, "The respnsible for a boat's decision to participate in a race or to continue racing is hers alone".
Please submit the form using the button below, you will be transferred to Paypal to process your payment electronically
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AUSTRALIAN SHARPIE SAILING ASSOCIATION (WA DIVISION INC)

Fees