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Member Registration Form
By submitting the following information you are not in any way committing to join the final party traveling to the Olympics in Athens 2004. The information is submitted only for the purposes of quantifying the numbers of people who have shown an interest. 
Only your Name, Profession/Occupation, Telephone and Email address will be published. 
We will not distribute this information to any other persons as we value your privacy.

Waiver of Confidentiality
By joining THE 2004 Olympix project I am cognizant of the fact that any information entered below will be publicly accessible through the means described above.

  • Please provide the following contact information:
    (required fields are indicated in bold type)
Name
Street Address
City
Zip/Postal Code
Country
Work Phone
Mobile Phone
FAX
E-mail
  • Please describe your requirements:

    Number of adults in party

    Sailing experience;

    select one

    Accommodation Preference:

    Preferred Price Range

    Comments or Suggestions
    (any special requirements)

    NOTE!
    To avoid receiving an error message please ensure that all fields are filled before you hit the submit button (even if you only reply with 'N/A') 

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