BUCKENHAM SAILING CLUB

                                                                                  Hon Treasurer: Janet Morgan

                                                                                                            11 Gilbert Grove

                                                                                                             Loddon

                                                                                                             NR14 6UA

                2010 Membership renewal

                Subscriptions for 2010 fall due on 1^st.12.2009

 

NAME:                                                             **For Family subscriptions

ADDRESS:                                                       Please list names of Spouse & Children

                                                                          Spouse:

                                                                          Child 1:

                                                                          Child 2:

                                                                          Child 3:

Telephone No:                                                  Child 4:

E-mail address:…………………..........................................................................................

I enclose remittance in respect of subs as follows:-

 

………..Family/couple Subs.**     @ £78.00 Family subscription covers 2 adults & all children  under 18.

………..Single subscription           @ £54.00

………..Friend of BSC                  @ £36.00

………..Student subscription         @ £25.00 Student subscription covers person in full time education

………..Senior Citizen                   @ £36.00

………..New Members Family      @ £40.00 for first year only

………..….New Member single         @ £27.00 for first year only

 

………..Dinghy Berth                    @ £31.00 Dingy berth will not be issued until receipt of all money due.

 

                                TOTAL OF CHEQUES OR MONEY DUE:    ………………….

 

Boat details:           Boat……………………….         Sail No:……………….

                               Boat……………………….         Sail No:……………….

                               Boat……………………….         Sail No:……………….

 

I am willing to do a box/safety boat duty or help in some other way...............(please √ )

 

I agree to be bound to the rules of the club and try to help with winter work.

 

Signed………………………….                 Date………………………..

(To be signed by the parent or Guardian if junior subs remitted)*

 

Please state if you wish your name and telephone  to go into the yearly hand book  (Y/N)……….

 

*Note 1: Junior membership forms to be signed by the parent or Guardian. Parents and Guardians are warned that the club is only able to provide rescue facilities during the activity of club racing. Other than this Parents and Guardians have sole responsibility for the child or wards must appreciate that the Club cannot be expected to excise supervision or control, Even during club racing the Club cannot accept responsibility for the child or any other person not engaged in racing.

Note 2 Data Protection Act 1998. This club holds membership records on a computerised database and fully conforms to the above act. It is your right to specifically request in writing to the Hon. Treasurer at the above address, that your membership records be removed. You may also inspect your own or your wards membership records at any convenient time.