【Application】
Please write down your actual information. We guarantee you must keep your information secret. We
need the information for document in our department, not for others.
*
Your Name:
*
Identity Card:
*
Age:
*
Job:
*
Nationality:
Photo:
Email:
*
Phone:
Mobile:
Second Phone:
Fax:
*
Address:
*
Postalcode:
Navigation Experience:
Is exercitor:
Yes
No
Boat Type:
Sailboat Num:
Is other's member:
Yes
No
√I agree follow Member Regulations as PENG XIANG FAN CHUAN DEPARTMENT
Note: We will contact you within 3 days. Please e-mail or call us if you do not receive our confirmation. This information must be provided