Radio Membership Form

Please note this form is for RC membership only.

Please see the “Join Us” section of the main site for all other membership options relating to Durleigh Sailing Centre

Please enable JavaScript in your browser to complete this form.

Name

First

Last

Address

Please enter your full address

Telephone Number

Your prefered contact number.

Email Address

MYA Membership

Please tick here if you want to join the MYA as a Durleigh Member
Please tick here if you are already an MYA member with another club and quote your MYA number and Club in the box below

MYA membership is £10 in addition to Durleigh SC fees

Existing MYA membership number and club (if applicable)

If you are already a member of the MYA please quote your membership number and the club here.

Please note to meet third party liability requirements you must be an MYA member or have equivalent cover via another clubs policy.

If you do not intend to join the MYA please provide full details of your third party cover here and note you may be requested to provide documented evidence.

Radio Yacht Class Interest

DF95
IOM
RA

Emergency Contact Details

First

Last

Name of person you wish to be contacted in case of a Medical Emergency.
It is advised you notify the centre directly by email if you have any specific allergies, diabetes or medication that may be applicable to any Medical Emergency.

Payment Information

Please tick to confirm fees have been paid via Bank Transfer to : Durleigh Sailing Centre – Sort code: 30-99-50 – Account no: 86823460

Radio controlled yacht membership only:
Cost is £28 per year, reducing to £14 after July 1st.
Please add £10 if MYA membership also required.

Declaration

I agree to my contact details being used solely for centre purposes
I have read and agree to the Durleigh SC notes and fees. I undertake to read and comply with the Centre’s Rules and Constitution and those of Wessex Water.