MYA Membership Request – Sedgemoor Model Boat Club

Name *

First

Last

Address *

Please enter your full address

Telephone Number *

Prefered contact number

Email Address *

Existing MYA number (if applicable)

Classes Sailed *

Please indicate which classes of boat you own.

Payment Information - MYA Membership Fee is £10 *

Payment made direct to SMBC account by bank transfer (account details displayed after form submitted)
Cash in person only to the Club Secretary Russ Chilcott

When submitting a bank transfer please add MYA Subs in the reference field to make it easier to identify your payment.
Once payment has been made tick the approriate box above to confrim

Information release *

I understand all of the above information will be passed to the MYA for the purposes of my membership request.