Membership Application

Full Name(Mr Mrs Miss)……………………………( block capitals)

Address           ……………………………………………..

                         ………………………………………………

      Post Code      ……………………….

Home Telephone Number   ……………………….

Mobile Phone Number      ………………………….

Email   ………………………………………………….

Age on 1^st January 2012 ……………*(for Insurance purposes)

Your signature         …………………………………

If under 16 years old you may only be included in a family membership.

PLEASE NOTE ALL JUNIORS MUST BE ACCOMPANIED BY THEIR GUARDIAN(s) AT ALL TIMES

How did you hear about us          …………….............................

Have you got a model boat ........................................................... 

What Transmitter/Radio frequencies do you use ......................

Yearly Membership fee is £10 if over 16 at 1^st October 2010.

 Family Membership is £15

Please return completed form together with your cheque to

                      Mr  Denis Foster 

                         28 Pennystone Close

                               Upton

                                     Wirral          CH49 4GA

                                               Thank You