Boating Western Australia Inc. 13 Years of service to the Western Australian Boating Public

Home
Position Statements

Mission Statement
BoatingWA is a non profit association, established for the promotion and development of safe, economic and enjoyable recreational boating through Western Australia.

BoatingWA
PO Box 692
South Fremantle 6162
Western Australia

FAX and Voice
08 93353296

e-mail; secretary@boatingwa.com.au

Office
1 Capo D'Orlando Drive
Fremantle, Western Australia, 6160

APPLICATION FOR MEMBERSHIP

2012 Renewal form

(PLEASE USE BLOCK LETTERS)

Surname ……………………… First Names …………….…………………… Address.…………………………………………………………………

………………………….…… Postcode …….

Tel. Home ………….….. Bus ……………..

Mobile …………………………………………

Email ………………………………………….

Do you own a boat? No Yes Type? ………………………………………...

Are you a mooring licencee or owner? - No Yes
Mooring location and number ………........….

Are you a Club member? No Yes

Which club?..............................................

I, ………………………………………………...... (the applicant) hereby agree to be bound by the Rules and By-Laws of BOATING WESTERN AUSTRALIA INC. upon acceptance by the Committee of my application for membership and I enclose herewith the sum of $.............……..for membership and goods.

PAYMENT: Cash (in person)  Cheque  Credit Card  (by fax or post)

Bankcard  Mastercard  Visa 

Signed ….……….………….….…… Expiry Date ……/…..

SEND TO

BoatingWA
PO Box 692
South Fremantle 6162
Western Australia