Membership Application
Questions marked by * are required.
1. Title *
2. First Name: *
3. Last Name: *
4. Address: *
5. Postcode *
6. Home Phone:
7. Work Phone:
8. Mobile Phone:
9. Email: *
10. Date of Birth: *
11. Occupation:
12. Membership Type (see Notes first): *
  • Joining Fee
  • Re-joining Fee
  • Single Full (Sailing & Social)
  • Single Social
  • Family Full
  • Family Social
  • Cadet Membership
  • Tender Storage
  • Dinghy Storage
13. Additional Family Member (Partner)
14. Additional Family Member (Child#1)
15. Additional Family Member (Child#2)
16. Additional Family Member (Child#3)
17. Additional Family Member (Child#4)
18. Are You a Boat Owner? *
  • Yes
  • No
19. If Yes, Boat Name:
20. If Yes, Make/Model: