Registration Form

Important Information - please read
Once your payment is confirmed you will be listed on the Entrants web page and you will be sent your requested number of raffle ticket books by post. Payment is by bank deposit and details will be provided with the invoice.
The entry entitles you to a book of 10 raffle tickets with the first prize being a CON17 RC Laser with boat bag and B rig.
Please note that the cost of attending the event dinner is not included in the registration fee.

Please fill as many fields as possible. Surname and Email fields MUST both have content.

*Surname       First Name
      

*Email:

Address:

City     State/Region     Post Code
         

Country


Mobile Phone - so we can contact you at the event

Sailing Club

Sail Number

I wish to purchase one or more places at the Event Dinner.
Number of places (at AU$35 each)

As mentioned above, the entry fee entitles you to a book of 10 raffle tickets in your name. If you would like to sell more raffle tickets to friends etc. please indicate how many books you would like sent to you (10 tickets per book).
Number of additional raffle books

Upon registration you will be sent an invoice for the AU$75 entry fee, plus if selected, a fee for Event Dinner places. Once your payment is confirmed you will be listed on the Entrants web page and you will be sent your requested number of raffle ticket books by post. Payment is by bank deposit and details will be provided with the invoice.

Any message for the organisers such as additional special event purchases or other matters?