Application for Membership

Is this your first application for membership?		YES	NO    

SURNAME :

FORENAME :

ADDRESS :

 

POSTCODE :

DATE OF BIRTH :

TELEPHONE NUMBER :

e mail address:

SAILING CLUB :

Data Protection Act It is intended to release names, towns and telephone numbers to other sailors via "On The Wire" (The class publication). If you DO NOT WANT your details released please tick........
Your name will then be removed from the data base. Every effort will be made to ensure you continue to receive 420 mailouts but this cannot be guaranteed.

Passport Photo Please send 2 passport photos, one to be included on your membership card and one on your personal portfolio. Please put your name on the back of each photo.

Boat Details	Do you own/share a 420?
		Do you Helm/Crew?
		Boat Number and Name..................................
		Are you looking for a second hand 420?................
    

FEE :- �20 Annually (1st January - 31st December)

If you require membership for yourself and for a non-specific crew that isn't a member of the class, the fee is �40, please tick here..........

Please send : Membership Form/Passport Photo and remittance (cheque made payable to 420 Class Association)to : Membership Secretary, Cheryl Davies, The Briar, Bergholt Road, Bentley, Ipswich, Suffolk. IP9 2DH. Tel: 01473311633. email [email protected]

This page was last updated on 23-Oct-2000 18:15. 420 UK Webmaster, Mike Greenland, [email protected]