Please complete this form to join the
'Parker & Seal Sailing Association'

This form is only to be used if paying by Bank Transfer
and for Overseas membership only

If you have any queries regarding the use of this form please contact:

Geoff Harwood, Membership Secretary,
e-mail: geoff.harwood@ntlworld.com

Please complete all fields if possible.

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Owners Surname		First Name & Initials
Partners  Name		First Name & Initials
Address  Line 1
Address Line 2
Town/City
State/County
Country		Zip/Postal Code
Home Phone		Mobile
E-Mail		FAX
Boat Class		Sail Number
Other Sail Number*		Boat Name
Where Moored
Sailing Area
Make & HP of Engine
VHF Call Sign		MMSI  Number
Yacht Club and/or Other Affiliations

                                          Main Interest:- Cruising. Racing. Pottering.

Please send Association burgee

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Cost of membership is 12GPB (€17.5/$23.4)   plus 22GPB, inc P&P (€32.6/$42.9) for an Association burgee if required.

Please state amount to be paid by bank transfer

   

Here are the details where money should be paid:

Account: Parker & Seal Sailing Association

         IBAN: GB98 BARC 2071 0690 8191 31

            SWIFTBIC:  BARCGB22

Reference: use Surname and First Initial
 

Please note - Membership will commence only on the receipt of payment

 
On selecting 'Submit' the data will be sent to the membership secretary who will acknowledge receipt by email.

Notes

      *'Other sail number' means any sail number not being a Seal or Parker sail number.
      Information from this form will be held on a computer.
     Information provided will only appear in the Members Handbook and not visible on-line until
     a secure method is developed.