samui regatta · non sailing participant social ticket - full regatta week - (includes closing...
TRANSCRIPT
SECTION 1 - GENERAL
Details for all boats
Boat’s register
Sail number and letters
Hull colour
Year built
Number of crew (including skipper)
Name of person (not on the boat) to be contacted in an emergency
Telephone number(s) for person above
Details for handicap boats only (IRC Monohulls, Sportsboats, Cruising, Multihulls)
IRC
Class (tick one box only)
IRC/NHC/OMR Rating (if known) Designer Draught
(metres)Declared Crew Weight
(OMR Only)Design type (e.g. Elan33)
Length O/A (metres)
ENTRY FORM
Bareboat Charter(IRC Handicap)
Class (tick one box only)
Platu Pulse 600 Other (please Specify)
No. of Crew (if known)
Declared Crew Weight
Yacht Builder
Build Year
Boat name for Samui Regatta 2020
Details for Samui Regatta One-Design Applications
Sports Boats
Please use block capitals and black ink, and complete all relevant sections of this form to validate your entry
Multihulls(OMR)
Koh Samui Regatta Registration Synergy Samui
155/3 Moo2.Chaweng Beach, Koh Samui, Suratthani, 84320
Thailand
Tel: +66 (0)81 538 8848 Fax: +66 (0)76 319272
Email: [email protected]
Cruising Class(NHC Handicap)
Regatta Samui
20 2023rd - 30th May 2020
Sat 23rd and Sun 24th- Registration + OpeningMon 25th to Sat 30th - 5 Days Racing + 1 Reserve Day
Name and address of entrant for pre-regatta correspondence (one name only)
Title Forename Surname
Address line 1
Address line 2
Town Tel Home
County Tel Work
Post or Zip code Mobile
Country Email
Contact details during Regatta
Accommodation Type (if known)
Chaweng Hotel Bo Phut Hotel
Private House
Other (please specify)
Shore-side accommodation
address during the Regatta
Living on boat (tick) Staying at permanent address shown above (tick)
or Address line 1
Address line 2
Town
Country Post code
tcatnoc eciov rof enohpeleTduring the Regatta
Mobile phone onboard boat for text messaging of course (one number only)
Assistance with Accommodation
Entrant
Please provide details of entrant or skipper name(s) as you would like them to appear in the official entry list, results and publicity material:
Date of birth
Rented Accommodation Staying with Friends
Hotel in Other Area
Samui Regatta Young Skipper’s Trophy
Please tick this box if you would like us to assit you with booking accommodation
Skipper̓ s name if under 21 years of age on 23th May, 2020
SECTION 2 - PERSONAL DETAILS
Racing CV for skipper
Name of skipper
Please supply details of notable sailing/racing achievements of skipper or crew:
Racing CV for boat
Please supply information on your boat’s results under your own or previous owner/skippers:
Yacht/Sailing Club membership
Please indicate the yacht and sailing clubs of which you, or any of your crew, are members:
Royal Varuna Yacht Club
Ocean Ma anirYacht Club
Phuket Yacht Club
Cruising Yacht Clubof Australia
Royal Southern Yacht Club
Samui Yacht Club
The Royal Thai NavySailing Club
Other (please list)
Advertising to be carried on boat
Tick box if you intend to carry advertising on the boat during the Regatta (see NoR 3)
Tick box if all Advertising Carried is for Samui Regatta O�cial Sponsors or supported charities
List below the names of all companies and/or products that you intend to advertise (including Event Sponsors and charities):
The Yacht RacingAssociation of Thailand
Organisers
SECTION 3 - DECLARATION (All competitors must read and sign)
Tick one or more of the boxes below if you do not wish any of your contact and/or boat details to be passed to the indicated organisation(s). (Note that we will never pass financial information to a third party):
Supporting Sponsors
Thailand Regatta Commercial Photographers
Other Organisations
Signed by person in charge or his authorised
representativeDate
Counter-signed by parent or guardian if person in
charge is under 18Date
SECTION 4 - PAYMENT
B
B
@ 1,500 per night
B
1 Day Non Sailing Participant (Mon - Fri only) Social Ticket (Excludes Closing Dinner)
(Samui - Pha-Ngan) for collection at registration.@ B 500 each
B
B
B
Card number - - -
Card expiry date m m y y Card start date m m y y Issue number
Card holder’s address,
postcode and contact number
rent f rom entrant’s)
Please debit my credit/debit card with the amount
shown above
Card holde r’s signatu re
3-digit security code from creditcard (this will be removed immediately after payment has been authorised).
As either the person in charge of the boat and/or his authorised representative, I agree to be bound by the Racing Rules of Sailing and all other rules that govern this event. In particular I have read Paragraphs 2, 15 & 19 of the Notice of Regatta and agree to their provisions and con rm that my boat will conform to their requirements throughout the event.I understand and agree that the information given on this form, and also the race lists, will be maintained on the Samui Regatta scomputers.
dd / mm / 2020
Regatta Entry Fee: Standard fee (including Skipper is 25,000 Thai Baht )[For promotions and early bird or late entry fee - See NOR 7]
Additional Crew Member Entry Fees. @ 7,000 Thai Bah t per Crew Mem ber (See NOR 7)
FOR PAYMENT BY BANK TRANSFER. Please transfer to the following account:
Non Sailing Participant Social Ticket - Full Regatta Week - (Includes Closing Dinner) @7,500 per ticket
Please order Thai Navigation Chart 243
Principal EventSponsors
Card holders nameas shown on card
BANK NAME: Kasikorn Bank PLC. ADDRESS : 14 Phang Nga Road, Tambol Talad Yai, Amphur Mueang, Phuket 83000, THAILAND. ACCOUNT NAME: Miss Orawintanee Wattana ACCOUNT TYPE: Saving Account ACCOUNT NO: 102-2-71465-8 SWIFT: KASITHBKOnce payment has been made, please fax or email a copy of transfer / deposit slip to Fax : +66 (0)76 319 272 Email: [email protected] Credit card payments will be subject to a service charge of 4%.Online payment can be made at www.samuiregatta.com. For Creditcard Payment at Registration, the card holder and the creditcard must be present for security purposes. Only Mastercard or VISA can be accepted. We regret that we are not able to accept American Express or Diners Club.
Total Amount
dd / mm / 2020