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September 16th, 2010
Join ICA – Full Membership is just NZD$65pa
ICA Full Membership Application Form - Page 1 of 3
Please register me for Full ICA Membership.
*
How did you hear about the ICA?:
Name:
*
First
Last
Name Partner:
First
Last
E-mail:
*
Boat Details Optional
Boat Name:
Country of Registration:
Boat Type:
Monohull
Multihull
Boat Length:
10m- 15m
15m -20m
Above 20m
Address Details Required only if you need ICA to send items by Post, i.e.. Flags, Guides, Burgee etc.
Address:
Suburb:
Town/ City:
Country:
Post Code:
Phone Number:
Leave us a message:
Terms and Conditions
Word Verification:
There are three sections to Membership Registration, click SUBMIT for Section 2, Payment Details.
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If you experience any problems with this form please email islandcruising99@gmail.com
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