ANNAN HARBOUR ACTION GROUP MEMBERSHIP APPLICATION FORM

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ANNAN HARBOUR ACTION GROUP IS A SCOTTISH CHARITABLE INCORPORATED ORGANISATION (SCIO NO. SC046732). PLEASE COMPLETE ALL QUESTIONS. THOSE MARKED WITH AN * ARE MANDATORY. ONCE SUBMITTED, YOUR APPLICATION WILL BE ASSESSED AT THE NEXT TRUSTEES MEETING, HELD ON THE 3rd THURSDAY OF EACH MONTH. IT IS A REQUIREMENT THAT SCIO'S KEEP A RECORD OF ALL MEMBERS.

FULL NAME *

FULL POSTAL ADDRESS *

DATE OF BIRTH (dd/mm/yyyy) *

AGE

OCCUPATION *

CONTACT PHONE NUMBER(S) *

CONTACT EMAIL ADDRESS *

I WISH TO BECOME A MEMBER OF ANNAN HARBOUR ACTION GROUP (membership is free) *

YES

I WANT TO TAKE PART IN ROWING A COASTAL ROWING BOAT *

YES

I AM INTERESTED IN OBTAINING ROYAL YACHTING ASSOCIATION QUALIFICATIONS *

YES

PLEASE LIST ANY RELEVANT PERSONAL SKILLS AND/OR QUALIFICATIONS THAT YOU HAVE

ARE YOU LESS-ABLED OR DISABLED (confidential for reporting and monitoring purposes only) *

YES

PREFER NOT TO SAY

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