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AQUATIC CLUB D’ALSACE ET DE LORRAINE
19 rue de l’Oberelsau
67200 Strasbourg
Tél : +33 (0)3 88 29 31 50
E-mail :
contact@acal67.com
Site web :
www.acal67.com
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FICHE D'INSCRIPTION / REGISTRATION FORM
IMPERATIF : à retourner jusqu'au 9 Mai 2022 - Imperative: to be returned until May 9, 2022
CHAMPIONNAT DE FRANCE DE CLASSE 470 - du 04 au 06 juin 2022 Base nautique de Plobsheim
Consulter l'AVIS DE COURSE pour les modalités de la régate / Consult the NOTICE OF RACE for the terms and conditions of the regatta
No de Voile / Sail Number
Your answer
Année de construction du bateau / Year of construction of the boat
Your answer
Type du bateau / Typ of the boat
CLASSIC - construit avant 01/01/2002 / built before 2002/01/01
OPEN
NOM DU BARREUR / SKIPPER NAME
Your answer
Prénom / Surname
Your answer
No de licence 2022 (only french competitors)
Your answer
Date de naissance / Date of birth
Your answer
Adress / Adress
Your answer
Téléphone / Phone Number
Your answer
E-mail
Your answer
Nom du club / Club Name
Your answer
Taille T-Shirt / Size T-Shirt
Your answer
NOM EQUIPIER / NAME OF CREW MEMBER
Your answer
Prénom / Surname
Your answer
No de licence (only french competitors)
Your answer
Date de naissance / Date of birth
Your answer
Nom du Club / Club Name
Your answer
Taille T-Shirt / Size T-Shirt
Your answer
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