Please complete all fields and check
relevant options.
Use your Tab key to navigate.
Note: This form is optimized for Internet Explorer and may not display correctly
on other browsers.) |
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ATTENDEES
(chooses Skipper/Crew/Junior) |
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NAME:
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NAME:
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NAME:
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ADDRESS |
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STREET/BOX
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CONTACT INFORMATION |
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EMAIL ADDRESS:
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PHONE: |
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AFFILIATIONS
(Check box if member) |
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YACHT
CLUB
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PAYMENT OPTIONS
(Select one) |
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AT REGISTRATION
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ADDITIONAL COMMENT |
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TERMS AND INFORMATION |
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TERMS:
(Required)
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Please type the word above exactly as it appears:
(Requiredf) |
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(Click
to send your request) |
Please note: You will receive a Form Confirmation once you click Submit. Your
registration will then be be
confirmed via email from the event organizer
within 48 hours. Please
contact the club
(Ph:410 287 6333)
if you do not receive your email conformation
within this time. |
MAIL CHECKS TO:
NERYC SAIL SEMINAR 2011
PO BOX 267
North East, MD 21901
DIRECTIONS: www.neryc.com |
