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QUEENSLAND HOBIE CAT ASSOCIATION INC

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QUEENSLAND HOBIE CAT ASSOCIATION INC Powered By Docstoc
					                       QUEENSLAND HOBIE CLASS
                          ASSOCIATION INC.
                                                                                              ®
           ®
               2008/2009 MEMBERSHIP APPLICATION
Name(s):                                                                   Age:
                                                                           Age:
                                                                           Age:
                                                                           Age:
                                                                           Age:
                                                                           Age:
                                                                           Age:
                                                                           Age:

Address:
                                                                  Postcode:

Home phone:                                    Mobile:
Work phone:                                    Fax:
Email:

Club:

Boat Details (if applicable):
Boat Name(1):
Hobie Class:      14  14T  16  17  18  20  Tiger  (tick one)
Sail Number:                             Sail Color

Boat Name(2):
Hobie Class:     14  14T  16  17  18  20  Tiger  (tick one)
Sail Number:                            Sail Color

MEMBERSHIP FEE: AS BELOW PER YEAR OR PART THEREOF
      $35.00. New member or membership renewal or crew membership fee.
      $55.00. Family membership (2 or more Financial Members at the same address).

        PLEASE NOTE: ALL MEMBERSHIPS ARE DUE FOR RENEWAL EASTER 2008

Signed                                  Date                     Amount Paid   $


Mail To:                                             Email to:
Secretary – Nita Cox                                 Secretary- Nita Cox

Queensland Hobie Cat Association Inc.                nitamaie@yahoo.com.au
36 Springfield Drive
Burpengary 4505                                      (payment for forms emailed required at
                                                     Easter registration)

				
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