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

This form is only to be used if paying by Standing Order
and for UK membership only^{(see note 1)}

It may also be used by an existing member wishing to change over to payment by Standing Order

If you have any queries regarding the use of this form please contact:
Geoff Harwood, Membership Secretary,
e-mail: geoff.harwood@ntlworld.com

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Tick if you are an existing member of the PSSA

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(see note 2)		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 details of the Association's yacht insurance schemes.

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On selecting 'Submit' you will be requested to download a Standing Order Mandate which you should complete and send to your bank manager.

The data from this form will be sent to the membership secretary who will acknowledge receipt by email.

Notes