Application For Membership

Candidate Details

First Name *
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Middle Names
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Surname *
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Title (Mr, Mrs, Miss)
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Address

Address Line 1 *
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Address Line 2
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Town/City *
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County
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Postcode *
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Country *
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Contact

Home Phone No.
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Mobile No. *
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Email *
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Date of Birth *
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Occupation *
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Other Yacht Clubs
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Vessel Details

Boat Name
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Lying
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Make & Model
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Type
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Other Boats
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Reason for Applying & Sailing Experience

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Club Activities with which you might like to become involved

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Candidate's Signature

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GDPR *
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Sign Name *
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Date
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Proposers

Proposer Name *
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Proposer Membership Number *
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Seconder Name *
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Seconder Membership Number *
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