Registration form Lustrum Captains Dinner on board of the SS ROTTERDAM on 12 November 2022

This content is available for members of Hallberg-Rassy Connectie only.

Registration membershipBoat name*

First name skipper*

Last name skipper*

First name Crew

Last name Crew

First names children crew

Streetname and number*

Postal code*

City*

Country*

E-mail*

Second e-mail

Phone number*

Second phone number

Boat type*

Year built

Hull number

Home port

Nationality*

MMSI number

Call sign

Font of boatname on the hull

Website boat

Instagram

Member of a sailing club? If so, name of the club

Participate in whats app group HRC social?

Participate in whats app group HRC support?

Do you accept the privat policy?*

Picture of the boat (< 400 kB)

Picture crew

Even voorstellen

*Required field