PRE - INSCRIPTION AU CHALLENGE AMATEUR PRE

PRE - INSCRIPTION AU CHALLENGE AMATEUR
PRE REGISTRATION FOR THE AMATEUR CHALLENGE
LA ROCHELLE du vendredi 27 au dimanche 29 mai 2016
LA ROCHELLE Friday 27 to Sunday, 29 May 2016.
Document à scanner et à retourner à [email protected]
Please send the scanned document to [email protected]
NOM/LAST NAME : ………………………………………………….….
PRENOM/FIRST NAME : ……………………………………………...
ADRESSE/ADDRESS : ………………………………………………...
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CP/ZIP CODE : ………………………………….……………………….
VILLE/CITY: ……………………………………………………………..
COURRIEL/EMAIL : ……..……………………………………………….
TEL : ………………………………………………………………………..
Composition de votre équipage/TEAM (3 minimum, et 4 maximum) :
Nom/name :…………………………………………………………....Nom /name………………………………………
Nom/name : …………………………………….…………….………Nom/name………………………………………
Zone de navigation/cruising area :
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Je suis déjà propriétaire d’un BARRACUDA et je souhaite participer :
I already own a BENETEAU BARRACUDA and I wish to take part :
BATEAU/BOAT: ……………………………………………………………………………………………………..
CONCESSIONNAIRE/DEALER : ………………………………………………………………………………….
Commentaire /comments :
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