Hydro-Pulsion : Club de jetski
NB : The mandatory fields are in red
Title: Not supplied Mr. Mrs. Miss
Gender: Unspecified Man Woman
Name:
First name:
Is company? Do you manage a non profit organization, or a company? If you do so, check the box, and then enter its name in the field that will appear.
Company:
Nickname:
Birth date: (mm/dd/yyyy format)
Birthplace:
Profession:
Language: Français English
Address: Address (continuation)
Zip Code:
City:
Country:
Phone:
Mobile phone:
E-Mail:
Website:
Jabber:
Id GNUpg (GPG):
Be visible in the members list: If you check this box (and if you are up to date with your contributions), your full name, website address ad other informations will be publically visilbe on the members list.If you've uploaded a photo, it will be displayed on the trombinoscope page.Note that administrators can disabled public pages, this setting will have no effect in that case.
Username: (at least 2 characters)
Password: Please repeat in the field the password shown in the image.
Other informations:
Boat Licence
Date of issue : (mm/dd/yyyy format)
Registration machine :
Type of machine : Jet à selle Jet à bras
Trademark : Yamaha Kawazaki Seadoo Polaris Autres
Modele : (not translated)
Insurance company :
Date fin validite : (not translated) (mm/dd/yyyy format)
COPILOT : Non Oui
Name :
Firstname :
Date delivrance : (not translated) (mm/dd/yyyy format)
Immatriculation2 :
Type de machine2 : (not translated) Jet à selle Jet à bras
Mark2