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| 1. Instructions |
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All competitors must complete all sections of this entry form. |
| 2. Event selection | |||
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| 2008 Regatta Manager International 10mē Canoe World Championship - McCrae YC AUSTRALIA 2008 | |||
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| 3. Entry Details | |
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| * Name of yacht | |
| * Sail No. | |
| * Competing as (IC, AC, DC, Other) | |
| * Classic Division (Yes or leave blank) | |
| * Helm First Name | |
| * Helm Surname | |
| * Date of Birth (dd-mmm-yy) | |
| * Gender (M/F) | |
| * Nationality | |
| * National Canoe Federation | |
| * Street Address | |
| * City | |
| * Country | |
| * Zip/Post Code | |
| * Telephone | |
| * Adult Tickets - Presentation Night at McCrae Yacht Club @ $25 : Qty | |
| * Child Tickets - Presentation Night at McCrae Yacht Club @ $15 : Qty | |
| * Shirt size (Male / Female) + (S / M / L / XL / XXL) | |
| * Hat size (S/M or L/XL) | |
| * Favourite drink | |
| No. of IC World Championships sailed | |
| Best placing at IC World Championship | |
| 4. Insurance Details | |
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| * Insurance Company | |
| * Policy Number | |
| * Public Liability Insurance Amount | |
| * Expiry Date | |
| 5. Additional Information | |
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| Additional shirts #1 @ $25ea : Qty + (Male / Female) + size (S / M / L / XL / XXL) | |
| Additional shirts #2 @ $25ea : Qty + (Male / Female) + size (S / M / L / XL / XXL) | |
| Additional hats @ $15ea : Qty + size (S/M or L/XL) | |
| Additional adult tickets - Opening Ceremony (31st Dec 2007) @ $20 : Qty | |
| Additional child tickets - Opening Ceremony (31st Dec 2007) @ $10 : Qty | |
| Tickets - Lay Day Activities - Brewery Tour @ $TBD : Qty | |
| Tickets - Lay Day Activities - Shopping Tour @ $TBD : Qty | |
| Adult Tickets - Chicken & Chips Night at Club (2nd January 2008) @ $10 : Qty | |
| Child Tickets - Chicken & Chips Night at Club (2nd January 2008) @ $5 : Qty | |
| Adult Tickets - Pizza Night at Club (3rd January 2008) @ $10 : Qty | |
| Child Tickets - Pizza Night at Club (3rd January 2008) @ $5 : Qty | |
| Adult Tickets - New York Challenge Cup, viewing onboard spectator boats @ $TBD : Qty | |
| Child Tickets - New York Challenge Cup, viewing onboard spectator boats @ $TBD : Qty | |
| Special Dietary Requirements | |
| 6. Payment Method - tell us how you will be making payment, then see the following sections for how to pay | |
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| * I have paid AUD400 by electronic funds transfer (enter amount, currency, date, receipt #) | |
| * My cheque for AUD400 is in the mail (enter cheque amount & currency) | |
| * I will pay by other method (enter details) | |
| 7. Payment by cheque - how to pay |
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Complete all fields on this entry form
Click the "SUBMIT INFORMATION" button so we have your details electronically.
Print the completed entry form
Mail the printout with accompanying
cheque
made payable to "International Ten
Square Metre Canoe Association of Australia Inc." to
International Ten Square Metre Canoe Association of Australia Inc.
6 Princes Street
CROYDON SA 5008
AUSTRALIA
| 8. Payment by electronic funds transfer - how to pay |
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Complete all fields on this entry form
Click the "SUBMIT INFORMATION" button so we have your details electronically.
Make the electronic payment as follows, please identify the payment as "IC WORLDS" plus your sail number:
Bank account details:
Bank : Westpac Bank
BSB : 035-033
Account Number : 15-3724
Account name : International Canoe Association of Australia
Reference : "ICWORLDS + Sail Number"
SWIFT CODE : WPACAU2S
| 9. Submit information |
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|
Instructions |