EMSWORTH CRUISING ASSOCIATION

SUBSCRIPTION RENEWAL - DUE : 1st JANUARY 2012

 Name:  Boat Name:
 Address:  Boat Type:
   Sail No:
   Mooring:
 Postcode:  Retired: YES/NO
 Telephone No.:  Mobile No.:
 MMSI Number:  Boat length (m):
 I HAVE at least THIRD PARTY INSURANCE ON MY BOAT. Tick box to confirm.   
 e-mail address:  

By submitting this renewal I accept that ECA members may use my email address, published in the Year Book, to advise any changes to the programme and any other club business. I also consent that my details may be held under password protection on the internet for use by committee members in connection with club business. (Delete anything to which you do not consent recognising that by doing so you may not receive the very latest updates in the event of late changes eg to venues or timings of rallies.)

Your signature: ………………………………………………………

Subscription: Boat Owner £30.00  £   Cheque payable to:

Emsworth Cruising Association.

NB. Please pay promptly. If not paid by 28th February, your entry in the Yearbook will be deleted.
Or No Boat £20.00
An additional Yearbook £2.00  £   
Club Burgee 18" at £18.00  £  
24" at £24.00
Club Tie £10.00  £  
Total   £
Your Committee is trying to save money so, how would you like to read your newsletter?
Email attachment (preferred)
    
 		         Website
    
 		         Paper in post
    
To simplify use, the new yearbook will have a motor boat section and a sailing boat section.
In which section do you wish your details to appear? Motor
    
 		         Sail
    

Please return your subscription as soon as possible to:
ECA Membership Secretary, Derek Ellinor, 10 Burnham Wood, Fareham, Hants, PO16 7UD.

This form is only for current members and should be returned by 28th Feb latest.
To print this: right-click the form, select 'Print' and accept 'Only the selected frame.'
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