NAME: ......................................................................................................................................................
ADDRESS: ................................................................................................................................................
POSTCODE: .............................................................................................................................................
PHONE: .(.....)........................................... EMAIL: ..................................................................................
NAME OF BOAT:.....................................................................................................................................
SAIL NUMBER: .......................................................................................................................................
YEAR PURCHASED OR BUILT: ............................................................................................................
PREVIOUS OWNER (IF APPLICABLE): ...............................................................................................
REGISTRATION CERTIFICATE ISSUED: YES / NO
All sailing members of IMCAT are required to be a member of Yachting Australia through an
affiliated club.
I AM A MEMBER OF THE FOLLOWING SAILING CLUB/S:
......................................................................................................................................................................
SUBSCRIPTION RATES:
Membership and Boat Registration: $30.00
Membership Only (No Boat): $5.00
Mirror Booklet: $10.00
REMITTANCE ENCLOSED: $........................
I hereby apply for membership of the IMCAT for 2009/2010 and agree to abide by the rules of the Association
SIGNED: ................................................................DATE: ..................
Forward subscriptions to:
John Behrens
Honorary Treasurer
53 Loatta Road
LINDISFARNE, TASMANIA. 7015