2010 One Design Class Revalidation & Class Membership Application *

Date

Hull Number:

Previous Certificate Number:

Yacht Name:

Sail Number:

Owner Name:

Phone Number:

Fax Number:

Email Address:
(payment details will be sent to this address)

Post Address:

City:

State / Province:

Zip / Post Code:

Detail of Changes:
(Please enter all changes to Yacht since the last certificate was issued)

Country:

$250 Class Association Membership
YES No

$75 Optional Association Membership for Alternate Helmsman
(must be ISAF Group 1)
YES No

Alternate Helmsman Name:

Alternate Helmsman Email:

Alternate Helmsman Address:

Alternate Helmsman City:

Alternate Helmsman State / Province:

Alternate Helmsman Zip / Post Code:

Alternate Helmsman Country:

or Reset