Port2Port Yacht Rally 2012
2012 RALLY REGISTRATIONS HAVE NOW CLOSED.
Name of Boat:
Preferred Email Address:
Confirm Preferred Email Address:
Alternate Email Address if any:
Your Website address:(for public access )
optional
Port of Departure:
List your last 4 ports before arriving in Bundaberg
Approximate Expected Date of Arrival in Port Bundaberg
Total Number on board
Please provide details of all crew members including skipper.
If space is not enough, please list extras in message box. .
Full Name:
Preferred Name
Date of Birth dd/mm/yyyy:
Nationality:
Passport Number:
Full Name:
Preferred Name
Date of Birth dd/mm/yyyy:
Nationality:
Passport Number:
Full Name:
Preferred Name
Date of Birth dd/mm/yyyy:
Nationality:
Passport Number:
Full Name:
Preferred Name
Date of Birth dd/mm/yyyy:
Nationality:
Passport Number:
Registration Number of Yacht
Registered Owner of Yacht
Registered Port & Country of Yacht:
Type of Yacht:
Monohull
Catamaran
Trimaran
Length of Yacht
Color of Hull
How will you report your daily position enroute:
HF Radio
Email
SMS
None
Are any of the following on board:
PETS:
YES
NO
FIREARMS:
YES
NO
Have there been any recent illnesses on board, give details in Message Box :
YES
NO
Are you planning on importing your yacht into Australia
YES
NO
Please include message if required
Include special dietary requirements:
Return to Home Page