NASA Club and League Insurance Options
NEW

FOR OFFICIAL USE ONLY - Please provide details requested below

CLUB/LEAGUE DETAILS

Club Name

League Name

Venue Name

Name of person submitting form

Position

How do you wish your NASA event insurance to be invoiced?

Do you want your Club or League's NASA event insurance to be invoiced (SELECT ONE OPTION):

Pay Full

Quarterly

RACE DATES (Please add as required) - Further questions below this section

Date of Race Day 1

Type of Meeting Race Day 1

Date of Race Day 2

Type of Meeting Race Day 2

Date of Race Day 3

Type of Meeting Race Day 3

Date of Race Day 4

Type of Meeting Race Day 4

Date of Race Day 5

Type of Meeting Race Day 5

Date of Race Day 6

Type of Meeting Race Day 6

Date of Race Day 7

Type of Meeting Race Day 7

Date of Race Day 8

Type of Meeting Race Day 8

Date of Race Day 9

Type of Meeting Race Day 9

Date of Race Day 10

Type of Meeting Race Day 10

Date of Race Day 11

Type of Meeting Race Day 11

Date of Race Day 12

Type of Meeting Race Day 12

Date of Race Day 13

Type of Meeting Race Day 13

Is this form:

Your first submission for the current season

Amendment form

Do you want to advise a cancelled meeting at this stage? Please provide dates of any cancellations

Your insurance invoice will be issued to the person we have registered as your club or league treasurer. If you have any queries please contact the NASA Treasurer, Julie Hawthorn-Fernihough on 07917 351318 or email julie_fernihough@hotmail.com

NASA Club and League Insurance Options NEW

CLUB/LEAGUE DETAILS

RACE DATES (Please add as required) - Further questions below this section

NASA Club and League Insurance Options
NEW