PUMA 2011 Moth Worlds - Registration
Event
PUMA 2011 Moth Worlds ($350 AUD)
PUMA 2011 Australian Championships ($90 AUD)
3rd Party Liability Insurance ($90 AUD)
Competitor Details
First Name
Last Name
MNA#
ISAF Sailor Code
Sailing Club
Sex
Male
Female
Date of Birth (dd/mm/yyyy)
Shirt Size
S
M
L
XL
Address
Address
City
State/Province
ZIP/Post Code
Country
Albania
American Samoa
Andorra
Angola
Antigua And Barbuda
Argentina
Australia
Austria
Bahamas
Bahrain
Barbados
Belgium
Bermuda
Bolivia
Brazil
Bulgaria
Cambodia
Canada
Cayman Islands
Chile
China
Colombia
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Estonia
Fiji
Finland
France
French Polynesia
Germany
Greece
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic Of
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Kazakhstan
Korea
Latvia
Lebanon
Liechtenstein
Lithuania
Luxembourg
Macedonia, The Former Yugoslav Republic Of
Malaysia
Malta
Mexico
Monaco
Netherlands
New Caledonia
New Zealand
Norway
Oman
Pakistan
Peru
Poland
Portugal
Qatar
Russian Federation
Saudi Arabia
Singapore
Slovenia
South Africa
Spain
Sweden
Switzerland
Taiwan, Province Of China
Turkey
Ukraine
United Arab Emirates
United Kingdom
United States
Virgin Islands, British
Virgin Islands, U.S.
Contact Details
Phone
Skype
Email
Boat Details
Sail Number
Year Built
Design
Manufacturer
Profile
Website URL
Occupation
Age started sailing
Years sailing Moths
Other classes sailed
Payment
Entry fees are payable in Australian dollars and can be made online or by direct deposit.
Payments made via direct deposit must be lodged using sail numbers as payment references.
Transactions are payable to:
Account Name: IMCA Australia
BSB: 082-663
Account Number: 55-556-1653
SWIFT Code: NATAAU3302S
Payments are also accepted via PayPal:
PayPal Account: payments@mothworlds.org
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