Kaapse Boot en Ski-boot Klub
Telephone
Club House 786-1763 Fax
021 786 5841 Admiral
HH BIERMANN, S.S.A., S.D., O.B.E.
Web:
capeboatandskiboatclub.co.za
Email:
cbsc@telkomsa.net
APPLICATION FOR MEMBERSHIP
You
do not have to be a boat owner to join this club.
FULL
NAMES:...................................................................................................................... ID NUMBER:...........................................
RESIDENTIAL
ADDRESS:............................................................................................. PHONE:...................................................
........................................................................................ .CELL: …………………………………….
................................................... POSTAL CODE:............ EMAIL:………………………………….
EMPLOYED
BY:.............................................................................................................
OCCUPATION:......................................
ADDRESS:......................................................................................................................... PHONE:.................................................
I am
married / single / divorced. If married,
wife’s name:........................................................................
List
names of dependent children who are automatically included in your family
membership:
1.
..............................................
2. ............................................... 3.
............................................... 4.
...............................................
List
membership to other sporting clubs:
1.
............................................................ 2.
............................................................
For
contact purposes I would prefer to be phoned at home / work / either.
If a
boat owner please complete below:
BOAT
NAME:.............................................................
COLOURS:................................................................POWER:.......................................................
I
have / have not a National Certificate of Competence.
My
boat does / does not at present comply with the national safety standards.
I
have ............... years experience as skipper / crew in offshore / inshore /
both.
I am
/ am not interested in competitive angling.
Date
of applicant:……………………
Proposer:....................................................... Seconder:................................................... Applicant:
I hereby declare that the information
Address:........................................................ Address:..................................................... given
above is correct. I understand
what is expected of me as
a member
..........................................................
...................................................... if elected and agree to abide
by the
rules of the club.
Phone:
.......................................................... Phone:
...................................................... My cheque / cash of R............... is
attached to
cover entrance fee and
subscriptions.
Signed:………………………………………
……………………………………. Signed:………………………………
NO
APPLICATIONS WILL BE CONSIDERED UNLESS COMPLETED IN FULL AND SIGNED
PAYMENT OF
R1150 SUBS, AND 2 X
ID PHOTOGRAPHS MUST BE ATTACHED.