Membership Online Application

* Items marked with asterix are mandatory

Title	First Name	Last Name
* A value is required Maximum of 6 characters	* A value is required Maximum of 30 characters	* A value is required Maximum of 30 characters

Email Address	Phone Number
* A value is required Not a valid email address Maximum of 60 characters	* A value is required Maximum of 30 characters

Address Line 1	Address Line 2	Address Line 3
* A value is required Maximum of 30 characters	Maximum of 30 characters	Maximum of 30 characters

Town	County	Postcode
* A value is required Maximum of 30 characters	A value is required Maximum of 30 characters	* A value is required Maximum of 8 characters

Renewal Status - choose one option

Continuous (i.e. Renewal before end April 2012)	�0.00
Lapsed or New Membership Joining Fee	�30.00

Please make a selection from the options above

Membership Type - choose one option

Full Memberships � Cruising, Diving*, Motor and Racing & Social

Fee

Voting

Bar Disc.

Full Single (Single Person Over 26 Years)

�110.00

Yes

15%

Full Family (Couple, Each Over 18 Years plus Family Children Under 18)

�175.00

Yes

15%

Honorary (Awarded by Board of Directors)

�0.00

15%

Concessionary (Student , Under 26 or UB40 - Verification Required)

�50.00

15%

Choose one or more options to indicate your interests
Cruising	Diving*	Motor	Racing
	*BSAC Registration Fee �25 Applies

Social Memberships � On-The-Water Events Excluded

Fee

Voting

Bar Disc.

Social Single (Single Person Over 18 Years)

�75.00

10%

Social Family (Couple, Each Over 18 Years plus Family Children Under 18)

�115.00

10%

Please make a selection from the options above

Joint Applications Only - second applicant
Title	First Name	Last Name
A value is required Maximum of 6 characters	A value is required Maximum of 30 characters	A value is required Maximum of 30 characters

Email Address	Phone Number
A value is required Not a valid email address Maximum of 60 characters	A value is required Maximum of 30 characters

Method of Payment

Bank Transfer

Credit / Debit Card

Cheque

Please make a selection from the options above

Brighton Marina Yacht Club - Tel : 01273 818711 Fax : 01273 818720 E-mail office@bmyc.org.uk

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To contact the Webmaster: webmaster@bmyc.org.uk