MEMBERSHIP FORM 2017

COPY AND PASTE THIS FORM AND SEND WITH YOUR CHEQUE TO OUR MEMBERSHIP SECRETARY

     Southport Model Boat Club 2017

www.southportmodelboatclub.com

 Membership No............................ Date approved............................................

 NOTE - INTERNAL COMBUSTION POWERED BOATS ARE NOT PERMITTED

MEMBERSHIP APPLICATION AND RENEWAL 2017

 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 2017 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 Telephone (01704) 232784.

                                     “Prompt renewal keeps costs down!”