Course Application

Please Fill in the Form with your details so we can contact you back.

Every field marked with a red star * is mandatory.

Applicant's First Name:*

Applicant's Last Name:*

Applicant's Email:*

Applicant's Contact Numbers: *
Home, Office, Mobile and any other additional information we should know.

How may students?*
1 2 3 4 More than 4

Select you desired class: *
101 - Basic Keelboat
103 - Coastal Cruising
104 - Bareboat Charter
105 - Coastal Navigation
Course Package A (101,103)
Course Package B (101,103,104)
106 - Advanced Coastal Cruising
107 - Celestial Navigation
108 - Offshore Passagemaking
110 - Basic Small Boat Sailing
113 - Trailerable Multihull
114 - Cruising Catamaran Standard

Payment Method:*
Check Credit Card Wire Transfer Wester Union
Apply for Time Payment Plan (What is Time Payment Plan?)

Desired date for course:*
this is subject of availability. If the days you choose are not
available, you will be notified and asked for any other dates.
Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month January February March April May June July August September October November December Year 2009 2010 2011

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