COPY AND PASTE THIS FORM AND SEND WITH YOUR CHEQUE TO OUR MEMBERSHIP SECRETARY
Southport Model Boat Club
Renewal of Membership 2019
Name ..........................................................................Please print clearly
Address.......................................................................................................
.........................................................................Postcode..........................
Telephone ....................................... Mobile..........................................
E-mail
.......................................Car registration no .................................
Are you a qualified First Aider?..........Are you a member of any other Boat Club?.......
If yes, please give details .................................................................................................
I/we agree to abide by the Club Rules and understand that membership covers period
to 31st December 2019 no matter what time of the Year I/we join the Club.
Signature .........................................................Date ...................................
What Radio control channels do you use? 27MHz............40Mhz.............Other.............
Annual Membership fees -Please make Cheques payable to:- Southport Model Boat Club
Full Member
£25.00
Junior Member (under 16 years old) £15.00
Family Membership £32.00
Amount enclosed-
Please complete and return with appropriate membership fee
(payable to Southport Model Boat Club)
along with your old membership booklet and s.a.e. post to:-
The Membership Secretary, Mr Michael Sandiford,
36 Skipton Avenue,Crossens, Southport. PR9 8JP
NOTE - INTERNAL COMBUSTION
(I/C) POWERED BOATS ARE NOT PERMITTED
Membership No............................ Date approved............................................