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Membership Application Form

Memberships are renewal on the 1st November each year. If you join after the end of August your membership will be valid until the following year.

Payment is possible via bank transfer in sterling or euro, or by card payment using Stripe.

If you are still looking for your Broom boat and would like to join as a provisional member you are also welcome! Please put Provisional in Boat Name and Model boxes and leave unknown information blank.

If you are in the UK, please select the correct Home and Mooring Region for you membership using the map on the previous page.

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

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State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Phone Number: Phone Number is not valid

Mobile Number: Mobile Number is not valid

Boat Name:* Boat Name is Required

Broom Model & Build Number:* Broom Model & Build Number is Required

Engines: Make/Model/HP: Engines: Make/Model/HP is not valid

Boat Previous Name If Any: Boat Previous Name If Any is not valid

Mooring Location: Mooring Location is not valid

Mooring Region: Mooring Region is not valid

CentralChannel IslandsEasternEuropeanIrelandScotlandSouth CoastSouth EastSouth WestThamesWestern

Home Region:* Home Region is Required

CentralChannel IslandsEasternEuropeanIrelandScotlandSouth CoastSouth EastSouth WestThamesWestern

Year Built: Year Built is not valid

Date Bought: Date Bought is not valid

Any Other Information About Boat: Any Other Information About Boat is not valid

Boat Picture: Boat Picture is not valid

Other Boat Clubs: Other Boat Clubs is not valid

General Information About Your Boating Life: General Information About Your Boating Life is not valid

Spouse/Partner/Crew Name: Spouse/Partner/Crew Name is not valid

Spouse/Partner/Crew Email: Spouse/Partner/Crew Email is not valid

Spouse/Partner/Crew Mobile: Spouse/Partner/Crew Mobile is not valid

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Password Strength  Password must be "Medium" or stronger

 

No val Please fix the errors above