Crew Member Name:
................................................................. Date of Birth:
................................ Male Female
** School: .............................................................................
** Current Class Year: ...........................................................
** Not required for adult voyage crew
Address:
................................................................................
Tel:
......................................................................................
Fax:
......................................................................................
Email:
....................................................................................
Home Address:
........................................................................
Tel:
.......................................................................................
Fax:
......................................................................................
Email:
....................................................................................
Next of Kin - Name:
..................................................................
Relationship:
............................................................................
1st Preference
I wish to participate in Voyage Leg Number:
..................................
Dates:
....................................................................................
Port of Embarkation:
..................................................................
Port of Discharge:
.....................................................................
2nd Preference
I wish to participate in Voyage Leg Number:
..................................
Dates:
....................................................................................
Port of Embarkation:
..................................................................
Port of Discharge:
.....................................................................
Please post this completed application form to:
Windeward Bound Trust,
PO Box 187, Pyrmont, NSW 2009
On allocation of a voyage number a 20% non-refundable deposit
is required to secure your berth.
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