CORINTHIAN YACHT CLUB

of Seattle

1998 REGISTRATION FORM

 

Sail Number______________Boat's Name______________________________

Class or Design___________________________________________________

If racing under PHRF handicap, enter rating_____________________________

Skipper's Name___________________________ Date of Birth___________ (Juniors only)

Address_________________________________________________________

City________________________________State______Zip________________

Phone (H)___________________________(W)_________________________

Fax_________________________________E-mail_______________________

Member of ___________________________________________________Club

US SAILING Member? ___Yes ___No. If yes, Member #_________________

Event(s) Entered__________________________________________________

________________________________________________________________

Program: (check one)____Puget Sound Large Boat Program
____Lake Washington____Puget Sound One-Design Program

Fee(s) for Events Entered: $_________________________________________

Payment (check one) ____Check enclosed

____Charge my Visa, Mastercard or Discovery Account

Credit Card Number_________________________________Expires____/____

Signature_____________________________________ Date_______________

Mail or deliver to:
Corinthian Yacht Club of Seattle
7755 Seaview Avenue NW, Pier S
Seattle, WA 98117
Phone: (206) 789-1919
Fax: (206) 789-5896