Burgee   Application form for Membership

Please use this form to apply for membership. Note that address data prefaced will be published in the Year book unless you opt otherwise. Data prefaced * is required. Any data that you submit will be sent securely to the CA Website.

How to use this form

Fill in your details below. Be sure to include your full postal address and select the appropriate Payment Method.
If applying for young member grade, please give your date of birth.
You will then be passed to the checkout to select means of payment. Note that if you want to take advantage of the reduced rates for direct debit, it is still possible to pay your first subscription via a credit card and return the direct debit form later. Confirmation of your membership is subject to review by the appropriate committee which may take a little time. If for any reason you are not elected, your subscription will be returned.

I hereby apply to become a member of the Cruising Association and agree, if elected by Council, to abide by the Memorandum and Articles of Association and Regulations.

Membership Category applied for:
*Title:   *Surname:            Honours, etc.
*First Names:
*¶Address:
continued:
*¶Town/City:
Post Code: Country: Leave blank for UK
Occupation/Profession:
Skills and expertise I could offer the CA:
Date of Birth: (in form dd/mm/yyyy, only required if under 25)
Phone: Home: Mobile:
Fax:     Office: 
*¶Email:
I am exempted from paying the entrance fee as
Boat Name and details: Class/Type:
Rig: Length Overall: m
Boat Location :
Usual cruising area(s):
I give my permission to publish my address details marked in the CA Yearbook, Yes: No:
I agree to accept CA information by email:
Payment Method.
How did you hear about the Cruising Association?
If you chose "Other" above please indicate how you heard here
Please indicate which section that you would like to join by selecting it. You can join more than one section (control or command-click).
If you have been recommended to join by another CA member, please enter their name here, with some other identification, such as boat name or where they live.
I am resident abroad for the full membership year Please tick if you are applying for overseas membership

Fields marked * are required.

Amount to pay  

If paying by direct debit, please tick the box below.
I undertake to return the direct debit form.
If you wish to pay by direct debit you will be given the option to pay your first year's subscription by credit card. This may be particularly useful for those who wish to confirm their membership quickly.

Membership Secretary,
CA House,
1 Northey Street,
London E14 8BT

Telephone: 020-7537 2828
Fax: 020-7537 2266

Updated 26/11/2009

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