Brindisi Lungomare Regina Margherita, 45 72100 Brindisi Tel: +39 329 6256611 Contact us Entry form Fill out the form in all its parts to begin the registration process, which will then be formalized at "Circolo della Vela Brindisi" office. Please attach a photo of the vessel with a minimum size of 2 MB and a maximum size of 5 MB. Notice of race *Bandiera/Flag Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Armenia Aruba Australia Austria Azerbaijan Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire Bosnia and Herzegovina Botswana Bouvet Island (Bouvetoya) Brazil British Indian Ocean Territory (Chagos Archipelago) British Virgin Islands Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Curaçao Cyprus Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italia Jamaica Japan Jersey Jordan Kazakhstan Kazakhstan Kenya Kiribati Korea Korea Kuwait Kyrgyz Republic Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Mexico Norway Oman Pakistan Palau Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Netherlands) Slovakia (Slovak Republic) Slovenia Solomon Islands Somalia South Africa South Georgia & S. Sandwich Islands Spain Sri Lanka Sudan Suriname Svalbard & Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Virgin Islands U.S. Minor Outlying Islands Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Vietnam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Classe/Class ORC MULTIHULL Categoria/Category Gran Crociera/Large Cruise X 2 Crew *Stato/Country Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italia Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea Kuwait Kyrgyz Republic Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Mexico Norway Oman Pakistan Palau Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Netherlands) Slovakia (Slovak Republic) Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Svalbard & Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Virgin Islands Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Vietnam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Foto dell'imbarcazione/Attach Yacht photo (2MB - 5MB) Allegare altri documenti richiesti dal bando/Attach others required documents ❌ ❌ - L’iscrizione sarà ritenuta valida solo se corredata da copia bonifico della tassa di iscrizione da inviare per email a raceoffice@brindisi-corfu.com / The registration will be considered valid only if accompanied by a copy of the payment of the registration fee to be sent by email to raceoffice@brindisi-corfu.com. - TRATTAMENTO DATI / DATA TREATMENT. Il sottoscritto con riferimento all’informativa disponibile presso la segreteria, ai sensi dell’articolo 13 del Decreto legislativo n.196/2003, dà il consenso al trattamento dei dati, ai fini dell’iscrizione alla regata. I authorize, according to the Legislative decree n.196/2003, the treatment of my data for the purposes of the regatta, whose policies are available at our race office. - INFORMAZIONI CVB / CVB INFORMATION. Autorizzo altresì, ai sensi dell’articolo 13 del Decreto legislativo n.196/2003, l’invio di informazioni da parte del CVB via email/sms. I also authorize, according to the Legislative decree n.196/2003, the CVB to send me information via email/sms. - INFORMAZIONI TERZE PARTI /THIRD PARTIES INFORMATION. Autorizzo altresì, ai sensi dell’articolo 13 del Decreto legislativo n.196/2003, l’invio di informazioni da parte di soggetti terzi designati dal CVB via email/sms. I also authorize, according to the Legislative decree n.196/2003, third parties appointed by CVB to send me information via email/sms. - DIRITTI FOTOGRAFICI E/O TELEVISIVI / PHOTOGRAPHY AND TV RIGHTS. I concorrenti concedono pieno diritto e permesso all'Ente Organizzatore di pubblicare e/o trasmettere tramite qualsiasi mezzo mediatico ogni fotografia o ripresa filmata di persone o barche durante l'evento, inclusi ma non limitati a, spot pubblicitari televisivi e tutto quanto possa essere usato per i propri scopi editoriali o pubblicitari o per informazioni stampate. All participants will grant full rights to the Organization to publish and/or to broadcast through any mediatic mean any photograph or video of people or of boats during the event. Pictures and videos may be used for advertising purposes or any other editorial or communication purpose. *Autorizzo al trattamento dei dati personali/I authorize the use of personal data * campi obbligatori Attenzione: come conferma di invio riceverete una email nella casella indicata nel modulo Attention: a confirm mail will be sent in your mail inbox. Δ Inviare i moduli della sezione MODULISTICA correttamente compilati a raceoffice@brindisi-corfu.com. Inserire nell’oggetto il nome dell’imbarcazione