Membership




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ONLINE APPLICATION
Complete the below information, upload a photo and submit. We will contact you ASAP to verify and confirm your application. Should you have any problems submitting yoiur application email mac@milnertonaquaticclub.co.za or TEL: 021 557 7090

Your Picture
Your Details
First Name Surname
Initials I.D. No
Your Email Profession or Occupation
Name of Spouse Cell

Name and date of birth of children


Are you a Member of Any Other clubs?  yes no
If Yes please state which club/s

Have you been refused membership at any other club?  yes no

If a member of another boating club and a sailing/boardsailing member, do you pay the
South African Sailing levy at the other club   yes no.
If yes please fax proof of payment to 021-557-7090.

Has the applicant ever been a member of the Milnerton Aquatic Club previously?  yes no
If yes please give particulars MAC No etc


Has the applicant been requested to resign from the Milnerton Aquatic Club or any other club,
or been rejected from any other club, or name ever been withdrawn prior to ballot?  yes no
If so please state the circumstances and the name of the club

Residential Address

code

Phone Fax
Cell
  
Business Address

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Phone Fax
Cell

Postal Address

code


Membership Category  Ordinary
 Family
 Associate
 Absentee
 Country
 Student
 Junior
 Visiting
Section that you wish to join
POWER
Make
Length
H.P.
DTC/ZA No.
 
SAIL
Class
Sail No
 
BOARD
Make
Type
Security Check Please input the following numbers into the text block : 1136