Membership Application Form

Personal Details

Applicant Name*

First Last

Partner's Name (If this is a family membership)

First Last

Address*

Street Address Address Line 2 City ZIP / Postal Code Country

Mobile Phone*

Home Phone

Work Phone

Email*

Boat Name

Boat Design

Sail Number

Dinghy Locker Required (if available)

Would you like to receive the weekly events email?

Would you like to receive the Quarterly Plain Sailing magazine?

Signature of Applicant*

Name of Nominator

First Last

Name of Seconder

First Last

Membership

Membership Options*

Sail Pass Product

Sail Pass

Total

$ 0.00

Office Use Only

Accepted at Committee Mtg		Mem #		Membership Pack		Mailchimp
Membership Card Ordered		MYOB		Outlook