Membership Renewal Form

Membership Renewal Form

£120.00

ANNUAL MEMBERSHIP COSTS £120 PER YEAR FOR THE MAIN ACCOUNT HOLDER AND £30 PER YEAR FOR EACH ADDITIONAL PERSON ON THE ACCOUNT. ADDITIONAL CARD HOLDERS MUST BE REGISTERED AT THE MAIN ACCOUNT HOLDER’S ADDRESS.

PLEASE USE THIS FORM FOR THE LEAD PERSON ON THE ACCOUNT ONLY.

ANNUAL MEMBERSHIP RUNS FROM 1ST JANUARY TO 31ST DECEMBER.

ON RENEWAL YOUR EXISTING CARD WILL AUTOMATICALLY BECOME VALID FOR USE IN THE CLUB & RESTAURANT.

EACH MEMBERSHIP ACCOUNT COMPRISES:

ACCOUNT AND CARD
ADDRESS LINKED TO THIS ACCOUNT
EMAIL ADDRESS LINKED TO THIS ACCOUNT

NOTE: THIS FORM IS FOR MEMBERSHIP RENEWALS ONLY. NEW APPLICATIONS MUST BE SUBMITTED USING OUR MEMBERSHIP APPLICATION FORM.

Member Details
Membership Number *
Your name *
Your email address *
Address Line 1 *
Address Line 2
Town/City *
Postcode *
Contact Number *

Member Vehicles
Vehicle 1


Vehicle 2


Vehicle 3


Vehicle 4

Boat Owners
Are you a boat owner *	Yes No
Name of boat *
Boat Make & Design

Additional Cardholders
You can apply for additional card(s) on your account at a cost of £30 per person (max four per membership). Additional cardholders must reside at the same address as the Membership account holder.
Number of Additional Cards *

Additional Card Holder 1
Additional Card Holder Name *
Contact Number *
Email *
Vehicle Make
Vehicle Model
Vehicle Registration
Address 1 *
Address 2 *
Postcode *

Additional Card Holder 2
Additional Card Holder Name *
Contact Number *
Email *
Vehicle Make
Vehicle Model
Vehicle Registration
Address 1 *
Address 2 *
Postcode *

Additional Card Holder 3
Additional Card Holder Name *
Contact Number *
Email *
Vehicle Make
Vehicle Model
Vehicle Registration
Address 1 *
Address 2 *
Postcode *

Additional Card Holder 4
Additional Card Holder Name *
Contact Number *
Email *
Vehicle Make
Vehicle Model
Vehicle Registration
Address 1 *
Address 2 *
Postcode *

SKU: LY-MEMBER-RENEW Category: Membership Renewal