membership application and renewal 2012 by vQOe262

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									                                                 2012 MEMBERSHIP APPLICATION AND RENEWAL FORM

                                                 Any queries on this form please email Richard@wcal.co.uk




* denotes required item                                                                                                           Date...........................

New Member                                             Renewal 

*Surname.......................................................................................................................

*Forename....................................................................................................................

Spouse/Partner...........................................................................................................

*Address........................................................................................................................

....................................................................................................................................

*Telephone No...........................................................................................................

Mobile No....................................................................................................................

*E-.mail address: ……………………………………………………………………..

MMSI Number………………………………………………………………………………....

Nauticat Type, Age & Hull No.....................................................................................

Boat Name...................................................................................................................

Where Berthed.............................................................................................................

Cruising Area..............................................................................................................


My particular interests are ………………………………………………………………………………………



I would like to help by …………………………………………………………………………………………….

PLEASE NOTE THAT THE ASSOCIATION IS ADMINISTERED VIA THE WEBSITE AND E-MAIL. IT
IS THEREFORE VITALLY IMPORTANT THAT MEMBERS’ KEEP THEIR E-MAIL CONTACT
DETAILS UP TO DATE IN ORDER TO KEEP IN TOUCH.

Arrangements are being made to keep existing non-e-mail users in contact.

Fees are £35 per year or part thereof, per Member, falling due end of February at which time
the password for the Members Only section of the website will change. Please make cheques
payable to The Nauticat Association and post to Richard Wakeham, 42 Gloucester Road,
Brighton, East Sussex, BN1 4AQ marking the back of the cheque with “Fee” and the
Member’s name. We regret that we cannot accept Euros.

								
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