Pleasure Vessel Grade II Operator Certificate Courses Application form Part A (Master) Surname: Mr/Mrs/Ms ____________________________________ Forename(s): ____________________________________ Account number: ____________________ Telephone: (Mobile) ____________________ (Office): ______________________ Fax: _______________________________ Email: ______________________________________________________________ Please enroll me on the course for Part A (Masters) to be held at 7:00pm – 10:30pm ( ) 18, 19 August 2022 Thursday & Friday ( ) 3, 4 November 2022 Thursday & Friday Please debit my account with $2,200. - For Non-Member please include a cheque with $2,800. Payable to Aberdeen Boat Club Ltd. Address: 20 Shum Wan Road, Aberdeen, Hong Kong. Signature Date __________________________________________________ _______________________________________________ Part B (Engineer) Surname: Mr/Mrs/Ms ____________________________________ Forename(s): ____________________________________ Account number: ____________________ Telephone: (Mobile) ____________________ (Office): ______________________ Fax: _______________________________ Email: ______________________________________________________________ Please enroll me on the course for Part B (Engineer) to be held at 7:00pm – 10:30pm. ( ) 25, 26 August 2022 Thursday & Friday ( ) 10, 11 November 2022 Thursday & Friday Please debit my account with $2,200. - For Non-Member please include a cheque with $2,800. Payable to Aberdeen Boat Club Ltd. Address : 20 Shum Wan Road, Aberdeen, Hong Kong Signature Date __________________________________________________ _______________________________________________ HORIZONS • 2022/7-8 49
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