Saturday 2nd October 2010

Please enter me:............................................

I will be sailing a/an..........................class boat.

Named...............................sail number............

P.Y is.......................

Name of Crew.................................................

My mobile number is - .....................................

My home telephone is - ....................................

My e-mail address is...........................................

My address is....................................................

......................................................................

.............................................Post code............

I agree to be bound by the rules of Buckenham Sailing Club plus all other rules that govern this race and undertake to sail in compliance with the RYA Chater. I confirm that I have third party insurance for a minimum of £2,000,000 and a Broads Authority license for the boat detailed above.

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Signed..................................Date.................

Entry fee for 2010 is £25.00. Please make cheques payable to Buckenham Sailing Club,
and send to Phil Webster, 54 Yarmouth Rd, Broome Bungay Suffolk. NR35 2PE.

For further information from www.buckenhamsailingclub.co.uk or
email Phil at captainbanjo.webster@gmail.com

For office use only.

Provisional class

Entry number

Start time

Confirmation Email/snail

BSC member