L&DMBC and HEMEL MEMBERSHIP
APPLICATION FORM 2018-2019

 

Name


Address


Town


County


Postcode


e-mail address


Telephone number (optional)


DATA PROTECTION ACT: The above personal information will be kept on a computer based file which will be
circulated to all club members. If you wish to avoid this, please tick here. Please be aware your membership service
may be affected if you do so.


MEMBERSHIP SUBSCRIPTION TARIFFS
Code Membership Type Tariff Qty
A: Adult: £25.00  
SC: Senior Citizen (Male/Female over 60): £22.00  
J: Junior under 18 (see note 1): Free  
D: Disabled: £22.00  
F: Family Membership (see note 2): £27.00  
SF: Senior Family Membership(see note 3): £24.00  
Total £   

Note 1: A Junior Member must be part of a Family Membership group. Junior Members become Adults on their 18th birthday and thereafter, at the next membership renewal date, will pay the Adult Membership tariff.
Note 2: Two adults plus maximum of three Juniors under 18
Note 3: Two Adults, one being over 60, plus maximum of three Juniors under 18

Please makes cheques payable to Luton & District Model Boat Club
and send, with completed application form, to:

Club Secretary L&DMBC
27 Saywell Road
Luton
Beds.
LU2 0QG