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
Full Membership Individual Application Form.

I wish to apply for Individual Membership 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.

PLEASE PRINT ALL DETAILS

Name: (Mr Mrs Miss Ms)________________________________________________________
Address: ____________________________________________________________________                 ____________________________________________________________________
Postcode   _______________
Phone: (       ) _________________________________
Mobile :_______________________________________
Birth Date (Optional): _______________________________
Email: ___________________________________________
Occupation:_______________________________________


Sailing Experience:____________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
 If a Boat Owner, (Power or Sail) Boat Name________________________________________________
Sailing Class:___________________________Length:_____________. Hull Colour:______________
Sail Number:_______________.Sail Colour:_________________.Modifications:___________________

Proposer (please print then sign):________________________________________Card No:__________

Seconder (Please print then sign):_______________________________________Card No:__________
(Proposer and seconder must be in good standing (financial) with the Club)

I have met the applicant:________________________________________________(Committee Member)

Signature of Applicant: ______________________________ Date: __________________

Joining Fee (Individual)      (one time only fee) $110.00 including GST
Membership Fee (Individual) $100.00 including GST


Amount Paid
(If application not accepted this will be refunded)

_____________________
$210.00 including GST

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