Membership Application
Document Sample


Official Use
Membership No:
Membership Renewal 2010 / 2011
_______________________________________________________________________________________
Name: _______________________________________ Home Phone: _________________ Mobile: _________________
Home Address: _________________________________________________________________________________________
______________________________________________________________________________ Post Code: ______________
e-mail: ______________________________________ Occupation: _____________________________________________
_______________________________________________________________________________________
Type of Membership (see reverse for descriptions & fees)
Full Family Social Social Family Other (please state _______________________)
_______________________________________________________________________________________
Official Use
Family Members Only (complete only if you are applying for Family membership) Membership Nos:
Partner: ____________________________________ Occupation: _________________________
Child: ______________________________________ Date of Birth: _________________________
Child: ______________________________________ Date of Birth: _________________________
Child: ______________________________________ Date of Birth: _________________________
_______________________________________________________________________________________
Boat Details
Boat Owner: Yes/No* Boat Name:_________________________ Make/Model: _________________________
Sovereign Harbour Berth Holder: Yes/No Berth No: ____________Berth Holders Association Member Yes/No
*If not a boat owner, which boat are you associated with _______ ____________________________________
_______________________________________________________________________________________
Interests
Sail Racing Sail Cruising Power Diving Fishing Social Other
I/We agree to pay the prevailing annual subscriptions as set by the board.
I/We agree to the information provide on this form being held in a computer database by the club for the
exclusive use of the club
Applicant ( Signature): ____________________________________ Date: _________________________
Partner ( Signature): _____________________________________ Date: _________________________
Membership Fees
Annual Subscription due 30th September 2010 (Annually 1st October):
Full Membership (Ordinary) £140
Family Membership (Ordinary) £240 (Husband & wife/partners plus any under 18s)
Social Member £140 (Non boat owner nor association with boat)
Social Family Membership £240 (as above husband & wife/partner plus any under 18s)
Cadet member £10 (Under 18 where not part of a family membership)
Student Member £20 (In full time education)
RNLI (operational crew member) £10 (same fee for spouse)
HM Coastguard member £10 (same fee for spouse)
Premier Marina staff member £10 (same fee for spouse)
Corporate Member £tba (on application)
Honorary Member £ nil
Overseas Member £61 (permanent UK non resident)
Life member (Ordinary) £ nil
Voluntary contributions to Club House £ ____
Voting Rights only apply to Full, Family, and Ordinary Life members NOT Social Members
Please enclose your cheque in favour of: Sovereign Harbour Yacht Club Ltd, or pay by cash, cheque or
credit/debit card behind the bar.
______________________________________________________________________________________
Office Use Only:
Date Received: Date Processed:
Payment Received: £
Payment Format: Cash Cheque Credit/Debit Card
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