Membership application

If you are a human and are seeing this field, please leave it blank.

Fields marked with ^* are required

Title ^*

First name ^*

Surname ^*

Date of birth (if 26 or under) ^*

Email address ^*

Postal address ^*

Postcode ^*

Telephone ^*

Membership types	Fee	Voting	Bar disc.
Full Single -individuals over 26 years	£210.00	Yes	20%
Full Family -couples, each over 18 years, plus family children under 18	£325.00	Yes	20%
Concessionary - students on full-time courses, adults 18-26, or unemployed/ disabled or living overseas(verification required)	£110.00	Yes	20%

Interest(s)* Please tick all that apply

If you are a boat owner, please put your boat details(name/type) here

Please provide details of your spouse/partner:

Title

First name

Surname

Email address

Telephone

Please provide details of a shoreside contact:

Shoreside contact first name

Shoreside contact surname

Shoreside contact telephone

Please choose your preferred payment option:

For bank transfers, please pay 'Brighton Marina Yacht Club Limited' using the following details:

Bank: HSBC Haywards Heath
Sort code: 40-11-65
Account no: 30034525

Please use the reference MEM/your surname

By monthly direct debit - contact membership@bmyc.uk for details

If you qualify for concessionary rates, please give brief details

By clicking 'Submit' you give your agreement to our use of your data in line with our Privacy Policy (You can find this at BMYC.uk/GDPR)