CRM

Candidate Form

Candidate Form

Name*
First:
Middle:
Last:*
Which category of membership are you applying for? (circle one) *
Date of Birth *
Occupation*
Address Details*
Nominee Address Panel
Click to add information
Mobile Phone*
Home Phone
Business Phone
Email*
Name of Business/Employer (if applicable)
Boating Interests
Reasons for Joining the Squadron
Please Specify (if selected Other)
Please Specify (if selected Other)
Special Interests Groups: Mahjong; Bridge; Choir; Book Club; History or Cruising
Other reasons for joining the Squadron
Other Club Memberships: Present
Your Australian Sailing Number, if applicable
Do you consent to RSYS passing on your email to Australian Sailing
Do you have any expertise or skills which may benefit the Club and which you are prepared to share?
Spouse/Partner's First Name
Spouse/Partner's Last Name
Spouse/Partner's Date of Birth
Spouse/Partner's Email
Spouse/Partner's Mobile Phone
Spouse/Partner's Occupation, if applicable
Click to add children
Date*