Treasurer
Ian Malcolm
1 Park Road
Eskbank
DALKEITH
EH22 3DF
0131 663 2079
| Surname | .......................................... | Forenames | .......................................... |
| Address | .......................................... | Spouse/Partner's Name | .......................................... |
| .......................................... | |||
| .......................................... | |||
| Post Code | .......................................... | ||
| Telephone | .......................................... | ||
| Home Club | .......................................... |
| Name of Craft / Windsurfer Make | Class / Model | Sail No. / Board No. |
| ................................................... | ......................... | .................................. |
| ................................................... | ......................... | .................................. |
| Subscriptions | Amount | Total (£) |
| Per Day | ||
| Per Person | £5 | ............. |
| Per car | £10 | ............. |
| Total Remittance |
I hereby apply for temporary membership of the Club and Undertake to abide by the rules of the club as displayed on the Notice Board. Should I own and sail a craft on Club waters I will effect insurance against Third Party Risks for £1,000,000 for any one accident.
| Signed | .......................................... | Date | .............................. |