Membership Application for new or returning applicants – Christchurch Model Yacht Club Inc.

CMYC Membership Application Form

Applicant

First Name

Last Name

Street Address

Town City & Postcode

Phone Number

Date of Birth

Current or Former Occupation

Emergency Contact

Name

Phone Number

Boat[s]

Class [1]

Class [2]

Class [3]

Sail Number [1]

Sail Number [2]

Sail Number [3]

List any additional boats owned here

Sponsors Names - must be CMYC members

Sponsor 1

Sponsor 2

I consent to this application for membership and if accepted, agree to abide by the rules and customs of the Club and I consent to my personal details to be recorded on the Club’s database and be available for the normal administration activities of the Club.

Yes

Membership Fees

New members CMYC subscription $60 plus NZRYA levy $10 – Total $70.

Renewal of membership subscription if paid by 31 October each year is $40 plus NZRYA levy $10 = $50

We would appreciate you direct crediting the payment into club’s Westpac bank account:

03-0859-0325828-000. Please use your surname and CMYC Subs as the reference.

Renewal membership subscription, if paid after 31 October will be $60 plus NZRYA levy $10 = $70.

(Your NZRYA levy can be paid through another yacht club)

Treasurer NO CHEQUES PLEASE

Payment Method

Direct Credit

Cash

Receipt Required