Seawind US_SCOA Class Registration /Transfer form

Personal Information

First Name: _______________________________________________________

Last Name: _______________________________________________________

Street: ___________________________________________________________

City: _____________________________________________________________

State: ____________________________________________________________

Zip: ______________ - ____________________________

Phone #: (optional ) ( ____ ) ________________________

E-mail: ( optional )___________________________________________________

Yacht Information

q I'm registering a new yacht.

q I'm transferring an existing yacht.

Yacht Name: ( if any ) _______________________________________________

Club Affiliations: ( if any ) __________________________ Club # ____________

Sail Number Next Available: ___________ Special Request: _________________

AMYA #: ___________________ ( If you are already an AMYA member )

May the above information be posted on the Seawind web site. Yes____ No _____

Each Boat registration is a one-time $7.00 fee.

Mail Completed form with $7.00 ( Check or Money Order Payable to Mike Eades )

To: US-SCOA Class Secretary

Mike Eades

2090 Middle Mesa Dr.

Wickenburg, AZ 85390 USA

Phone/Fax: (928) 684-5624

  E-mail: swcs@w3az.net