2017 Allen Inland Championship

Cardiff Bay YC
Saturday 6th & Sunday 7th May

*Helm's Name

Address

Postcode

Your Email

Membership no.

Telephone no.

Mobile no.

Crew's Name

Crew's Email Address

Crew's mobile no.

Sail Number

Dinghy's name

Entry fee: £50
Notes: Ages on this form refer to age at the date of the first race of the event. The helm must be a paid-up member of the Enterprise Association.
I am a member of club.

I am a paid up member of the Enterprise Association. I agree to be bound by the conditions set out in the Notice of Race, in particular the risk statement, that I have read and understood (on Enterprise Association website). I certify that the boat is insured for a minimum of £3,000,000 third party liability cover.
Signed: Date:

Please tick all appropriate prize categories below:

Lady Helm  Lady Crew 
Helm under 21  Helm over 40 
Helm over 50  Helm over 60 
Crew under 16  Crew over 40 
Classic Nationals Trophy Eligibility (sail number lower than 20,000) 

I would like to make payment via  Cheque BACs Transfer
Either send cheque to:-
Carol Ford, 56 Hurstville Drive, Waterlooville, Hants PO7 7NE
Please make cheques payable to 'The Enterprise Association' and write 'Helm's name' and 'Inlands' on the back.
OR
Bank Credit Transfer:-
Sort Code 20-79-25
Account No 00341274
Bank Barclays Hamble
Please put 'Helm's name' and 'Inlands' in reference field.

Please note: Clicking on the submit button will automatically email your completed form to the Championships Administrator.