District Report Form

District Report Form

The following form is for use by ILCA District or Fleet Committees. Please complete all sections and submit to ILCA.

You can use the TAB key to move between the boxes. Do not use the ENTER key as this will submit your form.

Your district:

Country

Name of District/Fleet if not your country:

Number of members
(A minimum number of 10 members has to be paid for.)

If the number of members is not accurate as of today, please provide the date at which last count was made

International Contact:

(We will publish this information on our website and the handbook)

Name:

Address:

Tel (Home): Tel (Office):

Tel (Mobile): Can we publish your mobile number?
Y      N

Fax: E-mail:

District Website:

Skype Identity:

LaserWorld Magazine:

How would you like to receive LaserWorld? Please choose one of the options
Print Version sent by post
PDF version sent by email
Both Print and PDF version

Address to which LaserWorld and Handbooks should be sent if different from above:

Attention:

Address:

Number of LaserWorlds:

European Membership Cards:

How many Membership Cards would you like to purchase?
(European Districts only) Would you like labels delivered with your cards?
Y      N

President/Chairman/Fleet Captain:

Name:

Address:

Address:

Address:

Tel (Home): Tel (Office): Tel (Mobile):

Fax: E-mail: Should ILCA circulars be copied to this person?
Y      N

Skype Identity:

Secretary:

Name:

Address:

Tel (Home): Tel (Office): Tel (Mobile):

Fax: E-mail: Should ILCA circulars be copied to this person?
Y      N

Other Officers, eg Treasurer, Co-ordinator for Masters, Co-ordinator for Radial, Co-ordinator for 4.7, etc:

(Please provide as many names as necessary for your district)

01. Position:

Name:

Tel (Home): Tel (Office): Tel (Mobile):

Fax: E-mail: Should ILCA circulars be copied to this person?
Y      N

02. Position:

Name:

Tel (Home): Tel (Office): Tel (Mobile):

Fax: E-mail: Should ILCA circulars be copied to this person?
Y      N

03. Position:

Name:

Tel (Home): Tel (Office): Tel (Mobile):

Fax: E-mail: Should ILCA circulars be copied to this person?
Y      N

04. Position:

Name:

Tel (Home): Tel (Office): Tel (Mobile):

Fax: E-mail: Should ILCA circulars be copied to this person?
Y      N

05. Position:

Name:

Tel (Home): Tel (Office): Tel (Mobile):

Fax: E-mail: Should ILCA circulars be copied to this person?
Y      N

06. Position:

Name:

Tel (Home): Tel (Office): Tel (Mobile):

Fax: E-mail: Should ILCA circulars be copied to this person?
Y      N

07. Position:

Name:

Tel (Home): Tel (Office): Tel (Mobile):

Fax: E-mail: Should ILCA circulars be copied to this person?
Y      N

08. Position:

Name:

Tel (Home): Tel (Office): Tel (Mobile):

Fax: E-mail: Should ILCA circulars be copied to this person?
Y      N

09. Position:

Name:

Tel (Home): Tel (Office): Tel (Mobile):

Fax: E-mail: Should ILCA circulars be copied to this person?
Y      N

10. Position:

Name:

Tel (Home): Tel (Office): Tel (Mobile):

Fax: E-mail: Should ILCA circulars be copied to this person?
Y      N

Form completed by:

Name

Position

When you have checked the information above, please don't forget to hit the Submit button!

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