EMSWORTH CRUISING ASSOCIATION
SUBSCRIPTION RENEWAL - DUE : 1st JANUARY 2009
Please complete
your name plus any item that has changed
from last year's Yearbook entry
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Name: |
Boat Name: |
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Address: |
Boat Type: |
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Sail No: |
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Mooring: |
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Postcode: |
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Telephone No.: |
Retired: YES/NO |
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e-mail address: |
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MMSI Number: |
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Subscription: Non-Boat Members - £12.00 Boat Owners £20.00 |
£ |
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An additional Yearbook £1.00 |
£ |
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Club Burgee (18" at £16.00 or 24" at £18.00) |
£ |
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Club Tie £9.00 |
£ |
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Club Sweatshirt - Ladies or Gents £15.00 |
£ |
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Total |
£ |
Cheque payable to Emsworth Cruising Association.
NB. Please pay promptly. If not paid by 29th February,
your entry in the Yearbook will be deleted.
Please return your subscription as soon as possible to:
The Membership Secretary,
Mr J. R. Burton, Manor Barn, Prinsted Lane, Prinsted, Emsworth, Hants, PO10 8HR
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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