2002 Coronado 15 North American Championships

June 21, 22 and 23, 2002

Fort Walton Yacht Club

Fort Walton Beach, Florida

Pre Registration Form

Please Return By June 7

 

Skipper's name

  __________________________________________________________________________    

Address

  __________________________________________________________________________    
 __________________________________________________________________________    

Phone #

  __________________________________________________________________________    

Email

  __________________________________________________________________________    

Crew's name

  __________________________________________________________________________    

Sail number

  __________________________________________________________________________    

Registration Fee* ($45)

 ______________  

T-shirts ($15 ea)

 ______________  

Please indicate number of each size

 ______________

Small

______________

Medium

______________

Large:

______________

X-Large:

  ______________

XX-Large:

  ______________

XXX-Large:

  ______________
______________

Total enclosed

 ______________  
*Deduct $5 for US Sailing Membership

Make Check Payable to:

Jeff Utley

Return to:

Jeff Utley
148 Mushroom Valley Road
Tullahoma, TN 37388

Cut and paste the above into your word processor program.  Fill out, print out, enclose check and send to Jeff.