Membership Application. After submitting expect to receive a confirmation message. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. Full Name *Date of Birth *Required by Australian SailingBoat Name/s that you have an association with or plan to sail on.For registered owners, authorized skippers, crew. Australian Sailing Number (new members with existing A.S. membership)An A.S. number will be generated when logging on for the first time. You will then be covered by A.S. insurance.Spouse/Partner and their Date Of BirthEnter Name and Date of Birth so that they can be easily registered and covered by A/S insurance when on board during an event. House/Unit Number *Street *Suburb *Post Code *Phone Numbers *Mobile and/or HomeEmail *Contact Authorisation *I authorise the club to publish my phone details to other members for the purpose of exchanging crew or other sailing matters as they may ariseI do not want to share my phone detailsThis number is very useful as an alternative to VHF contact with boats during events or if VHF contact is lost and thereby enhances safety.Number to use (mobile preferred)I Apply for Membership with the Newport Cruising Yacht Club Inc for the year 2024/2025 and agree to be bound by the Club's rules and bylaws upon acceptance of my application. (When this form is submitted, and the appropriate fee paid, the application will be reviewed by the NCYC committee and you will be notified of the result by the membership registrar. If your application is not accepted, a full refund will be issued.) *New MemberRenewalNew Membership applications must nominate a Proposer and Seconder who are both Ordinary MembersMembership Categories *Full $214.50Crew $118.25Only Full Members (Ordinary) have voting rights. Our fees are prorated after March each year. Submit our Membership Inquiry Form and request the current fee.Associate$22Associate Membership - Non racing members wanting to participate in our social events, added to our email list.Junior Member Name: 1 $11 (under 18)Junior Member Name: 2 $11 (under 18)Proposer *New Members: enter Full Member's name - Don't know anyone: enter Need IntroductionSeconder *New Members: enter Full Member's name - Don't know anyone: enter Need IntroductionMembership Card Required?YesYacht Insurance Status for Members & Applicants *My yacht's Insurance details remain unchanged and cover is current.I am a new applicant and will submit a Yacht Registration FormI do not currently own a yacht with the clubPlease amend my insurance details as follows:Revised insurance details for existing membersPayment Method (Bank Transfer preferred) *Bank Transfer [Bendigo Bank - Account: Newport Cruising Yacht Club Inc.- BSB 633-000 - Account Number: 164186371]CashFor Bank Transfer Use SURNAME for transaction descriptionPayment Details *Amount, Date transferred - If Cash give details. i.e. Will pay at Club House on: Give date.I declare that the details above are correct and and agree to the terms and conditions as stated in this application. *AgreeAny queries may be directed to secretaryncyc@gmail.com PhoneSubmit