Membership Subscription Form 2012

Please print off, complete and return to the Membership Secretary:
Julia Dashfield, Lodgegate Cottage, New Hedges, Tenby, Pembrokeshire, SA70 8TN
Telephone: 01834 844918     E-mail: dashfields@lodgegate.fsnet.co.uk

Type of membership		Cost	Number	Amount (£)
Full Members	First Full member in household	£50.00
	Senior citizens (60+)	£25.00
	Life Members	Free		Free
	Additional adults (inc. spouse, partner etc.)	£10.00
	Junior (3-18), Youth, Student in houshold	£10.00
Independent	Junior (under 18)	£15.00
	Youth (under 21)	£15.00
	Student (18 & Over in full time education)	£15.00
Storage by application only limited availability	Dinghy storage in store No. 8	£100.00
	Engine Rack	£40.00
	Dinghy Park please complete new Dinghy Berth Form	£80.00
Total Cash or Cheque enclosed:

Name:

Address:

Post Code:

Telephone No:

E-Mail address:

Additional Members: please state full names, (ages of children under 18)
Name	Age

Please state Sailing / First Aid / Powerboat qualifications - RYA level / other:
Qualification	Level

For NEW members only: a proposer and seconder are needed.
Proposed by	name:		Signature:
Seconded by	name:		Signature:

I agree to comply with the Rules of Tenby Sailing Club and apply for 2012 Membership.