Sail number:

Land code:

Name of the ship:

Responsible person:

Crew:

Email:

Days you want to participate: €16,00 a day if you are the 21 or later subscriber, if you are one of the 20 first subscribers your entry fee is paid by our main sponsor ‘Rabobank’

Number of tickets for the festive prizegivingceremonie €6,- per ticket: