| *First name: |
|
*Surname: |
|
| *Address : |
|
*ZIP: |
|
| *City: |
|
State/prov.: |
|
| *Country : |
|
| Telephone no: |
|
Fax : |
|
| *Email : |
|
 |
|
Type of boat
(Sail, Fishing etc): |
|
Boat-lenght: |
m |
|
| Make of Chart-plotting System: |
|
Model of Chart-plotting System: |
|
|
| Screen type: |
colour | mono |
|
| Is this your first Chart-plotter?: |
yes | no |
|
| What country do you keep your boat in?: |
|
|
How many chart-areas or cartridges
do you own?:
|
|
|
| Which Marine Magazines, if any, do you read?: |
|
|
