NOOSA YACHT & ROWING CLUB INC.
ABN 26 196 554 353 Chaplin Park , Gympie Terrace, Noosaville
P.O BOX 49 , TEWANTIN QLD 4565
PH: 5449-8602 or 5440-7440 Fax: 5474-1109
www.nyrc.com.au
email: info@nyrc.com.au

ASSOCIATE Individual Application Form

I wish to become an Associate of the Club.

If accepted I agree to abide by the Rules of the Club, and such Directives of the Management Committee as are promulgated from time to time.

I understand that I have the same rights as members, with the exceptions:
(a) Associates are not eligible to attend General Meetings
(b) Associates cannot be part of Club rowing activites
(c) Associates may act as sailing crew, but cannot enter boats in Club sailing events.

Should I become a rower or sailboat owner I may apply to become a Full Member.

NAME: (Mr Mrs Miss Ms)________________________________________________________
ADDRESS: ____________________________________________________________________                   ____________________________________________________________________
Postcode    _______________

PHONE: ( ) ___________________________________

MOBILE :  ____________________________________
BIRTH DATE (OPTIONAL): _______________________________
EMAIL: ____________________________________
OCCUPATION: _________________________________________

SIGNATURE OF APPLICANT: ______________________________

DATE: _____________________________________

Proposer (please print name and sign) __________________________________ Card No: ___________

All information collected is for the Club to fulfill it's activites and function
or that is required by law in compliance with the Privacy Code.
Associate Fee (Annual Fee) $25.00 including GST

New memberships are approved at The Management Committee Meetings held on the last Tuesday of each Month. If application is not accepted money will be refunded.


PLEASE EITHER HAND THE COMPLETED FORM TO THE OFFICE OR DUTY MANAGER OR MAIL WITH FEE TO P.O BOX 49 , TEWANTIN, QLD 4565

Office Use Only

Date: …………..…….. Receipt Number: ……………………Card No: …………………..