Surname

 

Christian Name/s

 

Postal Address

 

                                                          Post Code

 

Telephone Home                      

Telephone Work                                   Mobile

 

Facsimile                                   E-mail Address

 

Yacht Club/s to which you belong

 

Yachting Australia Number

 

Boat Name

 

Senior Member ($45 PA)                   Junior Member ($20 PA)

 

 

I hereby enclose cheque/money order for $           made payable to “The J24 Class Association of SA”

 

 

Please print this form and send with your subscription fees to the J24 Class Association of SA -

4 Everard Court, West Lakes, SA, 5021