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Boat Registration
2021-2022 Season
$50 Boat Registration per boat
Please use one form for each boat
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* Indicates required question
Email
*
Your answer
Boat Name
*
Your answer
If new boat 2nd Choice
Your answer
Boat Number
*
Your answer
Owners Name
*
Your answer
Owners Address
*
Your answer
Phone Number
*
Your answer
Club boat to be registered in
*
Your answer
Class to register in
*
Select ONE class only
GP
UU - Unlimited Unrestricted
UU - Unlimited Unrestricted IBRR
Grand National
Mod H
H2000
FV
Mod Vp
F1
F2
F3
Series 3000
Pro Stock 90
Pro Com
Super Stock
Clubmans / J Class
Historical (Demo Only)
NZ Class
Required
Enclosed Cockpit
*
Yes
No
Required
NZPBA Certified Cockpit Number
Your answer
Payment Details
Payment to be made via bank deposit / Internet banking
NZPBA. 03-1508-0003063-00
REFERENCE - Boat Name PARTICULARS - Your Name
Date Payment Made
*
MM
/
DD
/
YYYY
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