White Rock Power and Sail Squadron
Box 499 Unit 800 15355 - 24th ave., Surrey, BC V4A 2H9

COURSE REGISTRATION
Please print and send along with a cheque, or money order, for the full amount to the above address.


Date:(mm/dd/yy): _________/________/_________

1) LastName: ______________________________, FirstName:_________________________,

2) LastName: ______________________________, FirstName:_________________________,

Address: __________________________________________________ BC, ____________

Phone: Res, ___________________ Bus, ____________________ Fax, _________________

E-mail:____________________________________________

CPS Member#:______________________. Squadron: ______________________________


I wish to register for the following course(s):

Boating Course as a single, $275 ________, as a couple, $450 ________               I prefer: Tue. _____ or, Wed. _____

BoatProficiency, course $ 60 _______    Challenge: $ 20 _______

. CPS Members Non-Members
Advanced Piloting $130 _____
Fundamentals of Weather $ 95 _____ $110 _____
Radar for Pleasure Craft $ 65 _____ $ 80 _____
Navigating with GPS $ 65 _____ $ 80 _____
Marine Radio (VHF) $ 55 ______
 $ 65 ______

Prices include all taxes and all study materials and are subject to chamge without notice.

Paid by Cheque(#)_____ MC____ Visa____ Cash_____
Receipt no: __________________________________