Registration: Geographe Bay Race Week 2019

USER INFORMATION
Registrations from 1st Feb 2019 will incur a Late Nomination Fee of $75.00.
NOTE: GBRW fees of $300 DO NOT include mooring or pen fees. Rates are available separately from Port Geographe Marina and advertised at www.portgeographemarina.com.au | Email: craig@pgmarina.com.au
If using this online registration, please make sure you have copies of both your Boat Insurance Details and Cat 6 Audit form in pdf or jpeg format ready for uploading.
If you DO NOT wish to use the below online registration option, please download THIS FORM and return together with current copies of your
1. Boat Insurance Details
2. Cat 6 Audit form
via Email: gbycbsn@westnet.com.au | Fax: 9754 2866 | Post: GBRW PO Box 243 Busselton WA 6280.
Entries will NOT be processed until all necessary documents have been received!

First Name:
Last Name:
Name of Yacht:
Home Yacht Club:
Skipper Name:
Australian Sailing Card No.:
Postal Address:
Suburb:
Post Code:
Phone:
Mobile Phone Number:
The mobile number you provided will be used to receive SMS messaging from the Principal Race Officer in the event of start time delays etc.
Email:
Confirm Email:
Division Entered:
Yacht Design / Class:
Sail Number:
National Equipment Audit No (if app):
Draft (mtrs):
Length (mtrs):
Beam (mtrs):
Keel Type:
Cat 6 Audit Form :
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Insurance Details:
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As the authorised person, I certify that prior to and during the 2019 GBRW Regatta, the registered vessel will have complete boat insurance of $10 million as required by Geographe Bay Race Week (GBRW) and Geographe Bay Yacht Club (GBYC). I have included proof of insurance and Cat 6 Audit form with this registration. I also agree to the terms and conditions as listed in the GBRW Notice of Race and acknowledge that the listed organisations will not be liable for any loss, damage or injury to any property or person that may be incurred by me, my crew, or the registered boat during the 2019 GBRW Regatta.
:
I AGREE

PAYMENT OPTIONS on submission of this form you will be directed to the payment page where you have the following options:
1. Direct Debit - you will be provided with GBYC Bank Account details.
2. PayPal - the option to pay via your PayPal account OR with Visa or Mastercard through this secure gateway.
Enter the Security Code:
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