APPLICATION FOR MEMBERSHIP

SURNAME

                   …………………………………….…

GIVEN NAMES

                            …………………………………

……………………………………………………

I hereby apply to become

Member Single *(MS)

Member Partnered *(MP)

of the

Paynesville Motor Cruiser Club Inc.

*refer to Membership Categories and delete all inappropriate.

In the event of my/our admission as Member, I/we agree to be bound by the rules and by-laws of the Club and to observe them at all times.

Signature

Date……./……./………..

RESIDENTIAL ADDRESS

STREET……………………………………………………

TOWN……………………………....POST CODE……….

POSTAL ADDRESS IF DIFFERENT FROM ABOVE

…………………………………………………………..

…………………………………………………………..

OCCUPATION

Telephone No H……………………

Email address

B…………………Fax………………..

Preferred name (for Name Badge)

Mobile…………………….....

Boat Name

Boat Registration No.

SPOUSE PARTNER DETAILS partnered member application only

Name

Preferred Name (for Name Badge)

Name of Proposer

Signature

Date

Name of Seconder

Signature

Date

Office Use Only

Member Number

                                           ………..

Membership Category……………………………

PMCC Committee Meeting………/……../……..

Acceptance letter sent    ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Badge ordered                   ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Key issued/No                   ,,,,,,,,,,,,,,,,,,,,,,,,…….

Name Badges / Joining Fee

Subscription Fee

Key Deposit

(Ordinary Members Only

TOTAL PAYABLE

$……………..

$……………

$……………

$……………..

ORDINARY MEMBERSHIP

Full Voting Rights

Key access to upstairs Members Lounge

Eligible for Members Weekly Cash Draw

Eligible for Club Trophy events

Discount on Meals

Discounts on Drinks