West of Ireland Offshore Racing Association

Membership Form 2011

Print form and post to WIORA Secretary.

NAME:.........................................................................................................................

ADDRESS: ..................................................................................................................

EMAIL*:.....................................................................................................................

MOBILE*: .................................................................................................................

HOME PHONE: .............................................................................................................

BOAT NAME: ...............................................................................................................

CLUB: .........................................................................................................................

Fee €10.00 made payable to: West of Ireland Offshore Racing Association

Post to: W.I.O.R.A Secretary

Thomas Whelan

Central Sports

Market Square

Kilrush

Co. Clare

 

Important - Please fill in email & Mobile, updates may be sent by email / Text