Victorian Cobra Catamaran Association
Subscription for year _____

(Covers Nationals & States in that order).

The annual subscription for the current sailing season is :-

$10 per boat
or
$5 per mailing member.

	Skipper's Name ________________________________________________

	Address __________________________________________________Street

	        __________________________________________________Suburb

	Postcode __________
	
	Telephone (H) ________________________

	          (B) ________________________

	       Mobile ________________________

	        Email ________________________

	Boat name   ___________________________________________

	Sail No.    ________

	Hull colour ___________________________________________

	Crew's Name ___________________________________________________

	Address __________________________________________________Street

	        __________________________________________________Suburb

	Postcode __________
	
	Telephone (H) ________________________

	          (B) ________________________

	       Mobile ________________________

	        Email ________________________

Please make cheques payable to V.C.C.A. and post to :-

VCCA Secretary
Stan Blazejewski
51 Evan St.
Parkdale, VIC, 3195