Pembrokeshire Cruiser Racing Club
Application for Full Membership

Name.......
Address 1
Address 2
Address 3
Address 4
Post code

Telephone number
email address.......

Do you have a boat? if so, please give:
Name
Type
PY.....
IRC..
Signature
Date
   
Proposed by
Seconded by
Signature
Signature
____________________________________________
_________________________________________
Please complete the standing order below
To: The Manager
From:
Bank........
Address 1
Address 2
Address 3
Post code
Name........
Address 1
Address 2
Address 3
Account No.
Please pay the account of the Pembrokeshire Cruiser Racing Club the sum of £20.00 immediately and the sum of £20.00 on the 1st day of January annually thereafter. This order cancels any Order in favour of the PCRC currently in force.
Signature
Date

Please complete this form, print it and then send it to the Vice-Commodore, PCRC, Yr Penty, Port Lion, Llangwm, SA62 4JT