16 Mitala Street, Newport NSW 2106   Tel: 61 2 9998 3700

     

16 Mitala Street, Newport NSW 2106
Tel: 61 2 9998 3700

Adult Membership Nomination Form copy
to be completed by Adult applicant except Spouse of Applicant, existing members and those seeking spouse concession
title(*)
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Given Name(*)
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Surname(*)
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Residential Address(*)
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Postal Address(*)
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Home Telephone
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Business Telephone
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Mobile
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Email Address
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Date of Birth
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Emergency Name and Contact number
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Occupation
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Employer - optional
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Could you use your professional skills at assist the Club?
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Which category of membership are you applying for? If you are unsure as to the appropriate category, please contact the RPAYC Membership Coordinator on 02 9997 1022. (Youth category has separate nomination form)


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Are you a previous member of the RPAYC? if yes details and dates (if known)
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Boat ownership - Are you the sole owner, part owner or charter of a boat. If "Yes" you apply for Full Membership and complete a Vessel Registration form. You will be added to the Club's Register of Vessels.
Type of Vessel
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Name of Vessel
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Length -metres
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Beam - metres
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Draft - metres
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Sail Number
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Registration Number (for motor cruises)
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Name of Insurance Company for Vessel
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Vessel Insurance expiry date?
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Please upload current vessel Insurance Forms
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Are You the Sole owner of the Vessel
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If No, please give the name (s) of the other owners
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Is this ownership a syndicate?
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Do You Require


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Membership of other Clubs
Are you or have you been, a member of another club?
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If Yes please provide the name of club (s)
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Have you, at any time, been suspended or expelled or had disciplinary action taken against you by another club?
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Have you, at any time, been refused admission to another club?
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Australian Sailing (AS) (formerly Yachting Australia) membership - AS membership is complementary with RPAYC Membership. If you are an existing member, please give details below.
Are you a member of Australian Sailing (formerly Yachting Australia)?
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My Australian Sailing Number is?
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My home Club is?
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If elected as a member of RPAYC, I agree to the above personal details being provided to AS
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If you are interested in crewing OR// need crew for your boat, I authorise RPAYC to register me with the RPAYC Crew With Me and My Sail crew and boat register
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Club Activities & Interests
Which activity or activities are you interested in participating?








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Where would you prefer to receive correspondence from the club?
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Club Communications
Which of the following Club publications would you like to receive?





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Proposer Name
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Proposer Membership Number
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What is your relationship to your proposer?
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Seconder Name
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Seconder Membership Number
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What is your relationship to your seconder?
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Part Two - to be completed by Spouse (husband, wife or partner) of above applicant if also wishing to join at the same time OR spouse of existing member seeking membership and Spouse Concession
Spouse title
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Spouse Given Name
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Spouse Surname
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My residential address is the same as the above applicant
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If no, please supply residential address
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Spouse Home Telephone
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Spouse Business Telephone
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Spouse Mobile
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Spouse Email Address
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Spouse Date of Birth
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Spouse Occupation - optional
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Spouse Employer - optional
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Could you use your professional skills at assist the Club?
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Are you a previous member of the RPAYC? if yes details and dates (if known)
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Are you or have you been, a member of another club?
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If Yes please provide the name of clubs
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Have you, at any time, been suspended or expelled or had disciplinary action taken against you by another club?
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Have you, at any time, been refused admission to another club?
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Australian Sailing (AS) (formerly Yachting Australia) membership - AS membership is complementary with RPAYC Membership. If you are an existing member, please give details below.
Are you a member of Australian Sailing (formerly Yachting Australia)?
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My Australian Sailing Number is?
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My home Club is?
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If elected as a member of RPAYC, I agree to the above personal details being provided to AS
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If you are interested in crewing or need crew for your boat, I authorise RPAYC to register me with the RPAYC Crew With Me crew and boat register
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Would you like to share Club publications with your partner?
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Which activity or activities are you interested in participating?








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If No, which of the following Club publications would you like to receive for yourself?





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Where would you prefer to receive correspondence from the club?
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I would like to apply for the concession on subscription rates payable by a spouse?
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Part 3 - to be completed by both main and spouse applicants
Would you like to receive one account for the both of you OR separate accounts
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Candidate declaration
PLEASE INITIAL TO INDICATE THAT: I/We certify that the above information is true and correct to the best of my knowledge
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PLEASE INITIAL TO INDICATE THAT: If elected, I/We agree that members are bound by the Constitution and By-Laws of The Royal Prince Alfred Yacht Club
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Validation
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About RPAYC

The Royal Prince Alfred Yacht Club - RPAYC is a yacht racing and sailing club based on Pittwater.

The yacht club offers year round inshore and offshore racing, cruising, centreboard dinghy racing, sail training and courses plus has a large marina accommodating up to 352 vessels.

There is also a modern boatyard with comprehensive marine services to help maintain your vessel.

Membership, including family membership is now available.

Register here to receive the latest information on news and events at the Club
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