TELFORD SAILING CLUB

                  MEMBERSHIP APPLICATION FORM

All cheques must be made payable to Telford Sailing Club and sent to the Membership Secretary:

Mrs M Giles, 2 The Foxalls, Chillington Lane, off Wood Road, Codsall, WV8 1QF.

Tel :01902 843143

Fees:         Family £62
                  Single £57
                  Student £42
                  All Craft £10
                  Joining fee £33

I apply for membership and confirm that I have read the rules and have the relevant Third Party Liability Marine Insurance for my craft of no less than £2,000,000 detailed below.

I AGREE TO DO DUTIES IF REQUESTED and abide by the rules and constitution of the club
                                                                                             
                                                                    Signed

Surname                                          First name                                      Mr/Mrs/Miss/Ms
 
Email address
     
Address…………………………………………………………………………………………
………………………………………………………………………………………………….
Post Code                                                                      Telephone number

STUDENT only Date of Birth……………………………………….

FAMILY MEMBERS ONLY – this section

Wife/Partners Surname                                                                                        First name

Child,s Name           Date of Birth                  Child,s Name                                    Date of Birth

Child,s Name           Date of Birth                  Child,s Name                                    Date of Birth

Child,s Name           Date of Birth                  Child,s Name                                    Date of Birth

 

     CRAFT REGISTRATION

Make                        Sail number                 Insurance company                             Policy number

 

Make                         Sail number                Insurance company                             Policy number

 

Make                         Sail number               Insurance company                             Policy number

 

Membership Fee £………….. Membership will be refused if all details asked for are not submitted.

Craft @ £10 each £…………... Forms will only be accepted if all details are completed.

Key @ £15           £…………… Date of application

 Joining Fee £33   £…………… Cheque number