PARKMAN &    TEPHENS S S

Surname

Names of crew/family attending (If more than five, please submit a second form).

Please tell us about things we could help with, i.e special diets, walking difficulties, etc.

Please accept the disclaimer below

Disclaimer: The event organisers and the Sparkman & Stephens Association have taken all reasonable measures to ensure suitability and safety of activities, however they cannot take responsibility whatsoever for the activities and it is the responsibility of all attending to judge suitability for themselves.

The organisers reserve the right to change any details at any time and cannot be responsible for problems so caused.

Address

For example, Sagitta 35,Swan 76, etc.

Your allocation of mooring will be communicated by Clive Williams

A flat fee of euro 25 per person per day to be paid by the occupant

Event fee

The full event fee is € 170 per person. The full payment has to be made by 15 March, 2016


Payment

By Bank transfer to      Banco Bic Portugues, Lagos Branch








Please write your name and "booking AGM 2016" on your transfer. Please remember to choose: “Sender pays all transfer costs”.

T-shirt size

T-shirt size

T-shirt size

T-shirt size

First name

Town/City

Postcode

Country

Home Telephone

Mobile

E-mail address

First name

Surname

T-shirt size

T-shirt size

Surname

Surname

Surname

Surname

Coming by boat?

Will you offer a berth onboard?

Boat name

Type

Length

Expected day and time of arrival

Expected departure

Beam

Account name:

Clive Graham Williams

Account No:

6566749310002

NIB:

7900006566749310000

IBAN:

PT50007900006566749310215

SWIFT/BIC:

BPNPPTPL 

Main course

From the horses mouth

Printable version click here

AGM 2016 - Enrolment

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