press the print icon on your browser to print out this pageAnnual membership is £150 + £15 joining fee, total £165. After 1st September the fee is reduced to £37.50 + £15 joining fee, total £52.50. Cheques made payable to PHYC, please. Membership fees can now be paid in 8 equal installments. Membership includes the member, spouse/partner and children up to 18 years of age. Over 18s must join in their own right. Optional full membership for spouse/partner is an extra £37.50.
Applicant's full
name (Mr/Mrs/Miss)............................................................................ Spouse/partner's name ............................................................................ Address ............................................................................ ............................................................................ ............................................................................ County .............................................. Post Code .............................................. Tel No. Home .............................................. Tel No. Business .............................................. Tel No. Mobile .............................................. Date of Birth .............................................. ............................................................................ Occupation ............................................................................
Boat Name ........................................................... Builder ................................ Model .......................................................... Length ............................... Beam ........................................................... Twin.Single screw ............... Penton Hook mooring: Pier ........... Berth ........... Elsewhere? (eg Laleham) ................................ Does the boat have Third Party Insurance? Yes/No .........
Boating experience: River/Canal .............. years Tidal .............. years What are your main interests in boating?
River cruising ........... Tidal cruising ........... Social Events ...........Membership of other Yacht Clubs? .......................................................... RYA member? Yes/No ......... Any RYA/DTI qualifications? ...................................................................
Proposed by ..................................... Seconded by ..................................... Block capitals ................................... Block capitals ....................................
The Club will distribute your details as above, including e-mail address, to all Members unless you object and notify us accordingly.
SIGNATURE OF APPLICANT ...............................................DATE ........ /........ /2010 ........
OFFICE USE ONLY The applicant was interviewed by me and I approve/disapprove the application for membership.
Signed (Interviewing Officer)........................................... Date........../........./ 2010
Total fees received £ ............... Mem. Sec. No. 07/........... Approved by Committee date ......./......./ 2010
c/o Penton Hook Yacht Club, The Clubhouse
Penton Hook Marina, Chertsey, Surrey KT16 8PY Tel: 01932 564501