Membership Membership Renewal 2018/19 Submit your renewal to the Membership Secretary and make the Payment online. If you are human, leave this field blank.PSC MEMBERSHIP RENEWAL FORM FOR 2018/19Member Details Single Membership or 1st Adult Family MemberFirst Name *Last Name *Occupation *Email *Phone *Address *Post Code *Emergency Contact, Name & Number *Additional Family Membership Details2nd Adult First Name2nd Adult Last NameOccupationEmailPhoneChildren under 18 years of agePlease enter First Name and Date of Birth (e.g. John/11/06/2012)Membership OptionsPlease Select Membership Type *Single Adult Membership £75Family Membership £95Single Intermediate Membership - 18 to 21 years of age £40Single Junior Membership - Under 18 years of age £30Friends of Pen' £20Current Boat DetailsNo Boat this season.Sailing Boat Details Sail Boat MakeLengthModel / Name / HPColourSail / RegPower Boat Details Power Boat MakeLengthModel / Name / HPColourSail / RegOther Boat Details Other Boat MakeLengthModel / Name / HPColourSail / RegBoat Park Space Request Subject to Committee approval (Please note; Anyone who will not be using their boat while it is stored in the boat park will be asked to remove it to make space available for people who do)Please Select Boat Park Option *No boat park space required £0Monohull £65Multihull £75Rack Space (for Pico size, etc) £35Club KeysRequest KeysClub House £10Boat Park £5Send Form and Make PaymentNotify the Membership SecretaryGeneral information AND Please list medical conditions that may be relevant to Club activities: Declaration: *I/We confirm that the above boats have Third Party insurance (minimum of £2,000,000 for each claim) valid for the current season. I also give indemnity to the Club in respect of any claim made against the Club, arising from my negligence, or in respect of which I/We are liable or responsible. I consent to my details being held on the PSC database. I / WE CONFIRM SubmitClick 'Submit' to Complete your renewal form and make the payment.You will be transferred to the PayPal Payment Gateway NOTE: Check out as a ‘Guest’ to use your Bank Debit Card or Credit Card. Your renewal form will be sent to the Membership Secretary and Club Treasurer. Your PayPal receipt will be sent to the email address you use on the Payment Gateway. Thank you and Happy Sailing
