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CRUISING YACHT CLUB OF TASMANIA INC
PO Box 605 Sandy Bay
Tasmania 7006
www.cyct.org.au
Surname(s)
First name (include partner)
Children under 18 (names)
Preferred names for name badges
Email address
Home address Phone – home
Phone – mobile
Postal address
Membership Categories and Subscriptions. A Nomination fee of $25 is payable for family and single memberships.
Please tick your membership category Family $60 m Single $60 m Junior/Student $13.50 m
Boat name Design ..................................................... Where moored
Length Beam Draft
Distinguishing features, rig, etc
Radios VHF Yes m No m HF Yes m No m Call signs – Coast Radio Hobart RG ............. – ACMA
mI have transferred the total amount to the CYCT's Nomination Fee $ 25.00
Commonwealth Account BSB 067 002 Account 2803 5573 Subscription $ ............... m Enclosed, please find remittance for the total amount Total Amount $
being application for membership. Signed Date
Proposed by Signed Date
Seconded by Signed Date
Please note
When submitting this application please include a profile of 80—100 words (approximately 2 paragraphs) of your sailing experience, interest in cruising and perhaps your boat’s history. Your signature on this form permits inclusion of your contact details in the CYCT’s Membership List which is published annually for financial members.
Subscriptions payable are calculated using the pro-rata schedule as follows:
Applications received by Committee between October 1 and December 31 inclusive: 75% of standard subscription.
Applications received by Committee between January 1 and March 31 inclusive: 50% of standard subscription.
Applications received by Committee between April 1 and June 30 inclusive: 25% of the standard subscription.
MEMBERSHIP NOMINATION FORM
If different from home address. Please include post codes.
A CYCT financial member of 12 months standing
A CYCT financial member of 12 months standing
CLUB USE ONLY
Receipt
Number:
Applicant advised:
Invited to General Meeting:
Membership
Number:
Date received by Committee:
Albatross mailing list:
Membership approved:
(Secretary) (Date) (Treasurer) (Date)
(Commodore) (Date) (Membership Officer) (Date)
(Membership Officer) (Date) (Secretary) (Date)