Print this document and send it with your payment at the following address :

Club Transcaraïbes
12, rue Alexandre Lemercier
97190 – Le Gosier – Guadeloupe

	RATES
Club fee	89 Euros
Child under 12	Free
The child must fill the form
Add 20 € for cheques from foreign banks

Name of vessel :		Type :
		Reg. /Port :
Owner: Spouse: Child (-12): Crew: Skipper:
Mrs. Miss. Mr.
Name :		First name :
Date of birth :		Place of birth :
		Nationality :
Address :
Zip Code :		City :
		Country :
Tel :		Mob :
E. mail :
I, the undersigned, Mrs/Miss/Mr:…………………………………………………, register as member of the Club Transcaraibes, and therefore pay my annual fee of 89 € to the Club Transcaraibes.
As participant, I authorize the Club Transcaraibes to publish photographs of the crew, boat and owner on any publication needed to promote the event. I declare, that I have read and that I am ready to respect the rules of the Club Transcaraibes. I also declare the Club Transcaraibes discharged from any liability concerning insurances. I also declare, if owner, that my boat and crew are insured and that, owner or crewmember, I have the necessary health repatriation insurances covering the navigation zones and visited countries.
Signature : (Preceded by « Read and approved » )

Done in :……………………………………………………. On the :…………………………………

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