www.wardleysyachtclub.org
Membership Application Wardleys Marine Yacht Club
This application will then be displayed on the Club Notice Board for ONE MONTH before consideration
by the Club Committee.
Surname……………………………………… Forename……………………………
Full Postal Address ……………………………………………………………………
……………………………………………………….. Post Code ……………………
Telephone(s)………………………………………………………………………….
Email ………………….……………… Occupation……………………………………………..
Emergency Contact (Name, tel.) ………………………………………………………………….
Sailing Experience/Qualifications/ Interests ………………………………………………………
…………………………………………………………………………………………………………
Vessel Details:
Name …………………………………..... Class/Type………………………..………….
SSR No. …………… MMSI (Radio) No. ………………… Engine …………………………..
Weight……………. Colour (Hull)…………… (Topsides) ……………. (Sails)……………
Length Overall…………………… Draught …………………. Keel Type ………..……….
Name of Vessel Insurers ……………………………………. Policy Number ………………….
(Please note that Third party insurance is essential for all vessels using Club facilities.)
I wish to be considered for membership of Wardleys Marine Yacht Club and agree to abide by the Rules and Bye-Laws of the Club. I confirm that I have third party liability insurance cover for my vessel.
Signature of Applicant …………………………………….. Date ………………………
Proposed by (Sig.) ………………………………. (Name) ………………………………….
Seconded by (Sig.) ………………………………. (Name ) …………………………………
Approved by Committee …………………………..….. (Commodore Sig.) Date ……….……..
www.wardleysyachtclub.org
Please paste a recent passport size photo here.
Please complete the above application form and return it to the Commodore at the address below, together with a cheque for £90 (£50 joining fee and £40 subscription) made out to Wardleys Marine Yacht Club.
The form will be displayed on the notice board for 1 month before consideration by the Committee. In the unlikely event that your application is not accepted your fee will be returned.
Please ensure that the form is completed as fully as possible as missing information will lead to delay. Strike out any sections which do not apply to you.
If you intend to use or store a boat at the club it is essential that the boat insurance details are given. Without this the application cannot be considered.
When the completed form has been considered by the committee you will be contacted again.
Commodore - Brian Rees 137 Pleckgate Rd. Blackburn, Lancashire BB1 8QA
Tel: 01254 240383 Mob: 07711 621 391 e: brianrees25@googlemail.com
