Samui Regatta · Non Sailing Participant Social Ticket - Full Regatta Week - (Includes Closing...

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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 20 23rd - 30th May 2020 Sat 23rd and Sun 24th- Registration + Opening Mon 25th to Sat 30th - 5 Days Racing + 1 Reserve Day

Transcript of Samui Regatta · Non Sailing Participant Social Ticket - Full Regatta Week - (Includes Closing...

Page 1: Samui Regatta · Non Sailing Participant Social Ticket - Full Regatta Week - (Includes Closing Dinner) @7,500 per ticket Please order Thai Navigation Chart 243 Principal Event Sponsors

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

Page 2: Samui Regatta · Non Sailing Participant Social Ticket - Full Regatta Week - (Includes Closing Dinner) @7,500 per ticket Please order Thai Navigation Chart 243 Principal Event Sponsors

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

Page 3: Samui Regatta · Non Sailing Participant Social Ticket - Full Regatta Week - (Includes Closing Dinner) @7,500 per ticket Please order Thai Navigation Chart 243 Principal Event Sponsors

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

Page 4: Samui Regatta · Non Sailing Participant Social Ticket - Full Regatta Week - (Includes Closing Dinner) @7,500 per ticket Please order Thai Navigation Chart 243 Principal Event Sponsors

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