application form here - Derby Motor Boat Club

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Sawley, Long Eaton. A. Keen - Secretary Derby Motor Boat Club. NOTTINGHAM ... USING A BLACK PEN. Name (in block capitals). DMBC Application Form.xls ...
THE DERBY MOTOR BOAT CLUB LTD. Headquarters: Warren Lane Sawley, Long Eaton NOTTINGHAM NG10 3AD

Telephone:

PLEASE RETURN TO: A. Keen - Secretary Derby Motor Boat Club ABD Accounting & Book Keeping Services 54 Jacqueline Road Markfield Leicestershire LE67 9RB

01530 249432

APPLICATION FOR MEMBERSHIP PLEASE COMPLETE THIS FORM USING A BLACK PEN

Name (in block capitals) Please ring the name you prefer to use

Partner's First Name Address

Post Code Telephone No

Mobile No

email address

DETAILS OF BOAT Name Length

Beam

Draught

Method of construction Maker

Year I, the undersigned, hereby apply to be admitted to Membership of the above Company. I understand that, on becoming a Member of the Limited Company, my liability in the event of the winding up of the said Company will be limited to a Sum not exceeding £1 (One pound). I further understand that, if accepted into Membership, I shall be bound by the Articles of Association and by the Club Rules presently in force and as amended.

Date

Signed

Full name Registered Office:The Old Police Station, Wharncliffe Road, Ilkeston, Derbyshire, DE7 5GF Registered in England and Wales No. 77078

DMBC Application Form.xls

28-Dec-12

THE DERBY MOTOR BOAT CLUB LTD.

APPLICATION FOR MEMBERSHIP - Page 2

How long have you been boating?

Where are you moored at present?

Present annual mooring charges?

Date when fees are next due.

Are you the sole owner of your present boat? Please give details of previous boats owned

Do you intend acquiring another boat within the next two years? If so please give details

DETAILS OF INSURANCE COVER Name of Insurance Company Type of Insurance Amount of Third Party cover Expiry date of present cover Note: You will be required to produce your Insurance Certificate at the time of your interview and thereafter at each subscription renewal.

DETAILS OF BOAT REGISTRATION British Waterways Craft Registration No. Date of expiry of current Canal / River licence Note: It is a condition of membership that all vessels must display a current Canal / River Licence at all times and that all such Licences must be obtained from the Club's Secretary.

DMBC Application Form.xls

THE DERBY MOTOR BOAT CLUB LTD.

APPLICATION FOR MEMBERSHIP - Page 3

PERSONAL DETAILS Occupation Business Address

Telephone No

Mobile No

email address

Would you wish to bring any pets on to the Moorings?

Have you any skills or abilities which would benefit the Club?

Are you prepared to attend occasional working parties? Are you prepared to support the Club's social events, e.g. Annual Dinner/Dance, Barn Dance, A.G.M etc? Have you ever visited the Club's Moorings or attended any Social Event? Would you be prepared to serve on the Council of Management? Why do you wish to join the DMBC?

Note: An endorsement of the application by a Full Member of DMBC is desirable but not essential. Mooring No.

Sponsor's signature

DMBC Application Form.xls