Name:   Boat's name:
Surname: Swan model:
Street: Class (Sloop, Yawl...):
Town: Built in year:
ZIP: Hull n°:
Country: Sail n°:
E-mail: Engine: model, year:
Phone: Hull colour:
    Usual berth (Marina):

AGREEMENT: According to the privacy protection principles stated by law, I give my consent to your company to handle my personal details for the designated purpose. For no reason shall the data be given to third parties for any use other than the strictly necessary for normal communication between and myself. I also give my consent to the handling of my personal data by means of automated and computerized procedures under the conditions stipulated by EEC regulations.

I have read and accept the above conditions