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ABN 82 700 909 965

No. 1 Starboard Drive, Bowen Harbour, Qld. 4805


PO Box 729, Bowen, Qld. 4805
Phone: (07) 47863490 Fax: (07) 47862790
E-Mail: admin@nqcyc.com

The Troppo Cup Trailable Yacht Series


5 6 October 2013

NOMINATION FORM
Skipper:

Club: .

Address:

.. Post Code:....

Email:

. Phone:...

Yacht name: . Sail no: .


Model or Design: (e.g. Noelex 25, Sonata 7)
Yacht meets class rules for Class Based Handicap?

Y/N

If modified confirm modifications to:


Hull:
Rig:

Sails:
CBH PBH ..

Current club handicap (if known):

Please attach a copy of your Insurance details (see notice of race), and Safety
Certificate as issued by your club.
Fee:

Nomination before 2nd October 2013


Nomination after 2nd October 2013

$50.00
$80.00

$..............
$..............

Print Name: .. Sign: Date ..

Please transfer the nomination fee to:


Bank

ANZ

BSB

014 504

Acc No.

4940 20633

Please also email/fax the remittance to - Email admin@nqcyc.com or Fax 07 4786 2790
Please include Name
Reference - Troppo Cup

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