Membership Application

Australian Tasar Council - Queensland North and South Membership Form

Fees For 2012 / 2013 SEASON: (The Membership year is from 1st May, 2012 to 30th April, 2013) Full Membership Sailing Skipper or Crew $25 EACH Associate Member $10
I will be sailing in the Region of the Queensland Districts.

The Club I am sailing at
Boat Name
Sail number
Hull Colour
Boat Weight (in kgs)

Skippers Name
Skippers AYF Number
Skippers Postal Address
Main Phone Contact	Other Phone
E-mail
Names of other family members

Crews Name
Crews AYF Number
Crews Postal Address
Main Phone Contact	Other Phone
E-mail
Names of other family members

In 2012 the Tasar Queensland State Titles are being held at Tinaroo from May 5th - May 7th. Details of the Tinaroo May Day Regatta are available from the May Day Regatta Page* and you can enter this regatta online (and save $10 from the full "on the beach" entry fee) via the Online Entry Form* (* links open in a new window).

Please Note: 1. Membership of ATC - Qld is required for attendance at Major Regattas such as State, National and World Regattas 2. Please include your preferred contact details for this membership renewal. I hereby membership of the Australian Tasar Council - Queensland North or South District. Please do a BSB transfer to the ATC account (details below) and MAKE SURE you include as reference 'QLD-NTH' or 'QLD-STH' followed by your Boat Number. If this cannot be located on our statement then you will not be deemed as financial. A receipt will be forwarded once payment received. I agree to be bound by the rules of the Tasar Class in force for the time being. Signed: Date: ATC Account Number for Direct Debit Name: Australian Tasar Council Bank: National Australian Bank BSB: 083-166 Account No: 64-860-7569
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