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7/27/2019 Hhbsc Nomination Form
1/3
www.hamptonharbour.net.au
Hon. SecretaryHampton Harbour Boat and Sailing Club Inc.Lot 306
DAMPIER W.A. 6713
Dear Sir or Madam
I/ we wish to become a . (SEE NEXT PAGE) member of HHB&SC
and if elected, I/ we agree to abide by the Constitution, Rules and By-Laws of the Club.
NAME / S:
...
CHILDREN:.DOB..
DOB..
DOB..
DOB..
ADDRESS (POSTAL):...
ADDRESS (RESIDENTIAL):
CAR MAKE:... REGISTRATION:.
OCCUPATION:. TELE. HOME:..
EMPLOYER:. TELE. WORK:.....
MOBILE:.E-MAIL ADDRESS:........................
SIGNATURE OF APPLICANT:...
DATE:..
I (.) Propose this nomination. Signature...
I () Second this nomination. Signature.
Members, Please print your name legibly, as well as signing form.See the next page for schedule of Fees and Boat Registration Form
HAMPTON HARBOUR BOAT & SAILING CLUB (INC)
Address Correspondence to: The Secretary,
LOT 306, DAMPIER. WA 6713.
Tel: 9183 1116 Fax 9183 1612Email:hhbsc@bi ond.net.au
7/27/2019 Hhbsc Nomination Form
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www.hamptonharbour.net.au
SCHEDULE OF SUBSCRIPTIONS
(Please Note: Payment either by Cash, Cheque or Credit Card)
Category Total Membership Fee Inc GST
ORDINARY $270One vote per membership & access to allClub facilities)
SOCIAL $70 till31/12/2012 (Non-Voting access to Club House facilities)
COUNTRY $60 (Must reside more than 50 km from clubhouse)
CONCESSIONAL $55 (Age or disability)
JUNIOR/STUDENT $25 (Under age of 18 yrs.)
LIFE $6.50(Resolution passed at AGM)
HONORARY Nil (Three month period approved by committee)
FISHING CLUB $50Nomination fee for new Nickol Bay Sport Fishing Club memberswhich is forAustralian National Sportfishing Associationaffiliation, this is a one off payment (unless HHBSC full ordinary
membership lapses) Please complete the appended fishing club
membership form
GATE KEY $50.00 deposit Ordinary Members only
INFORMATION FOR POWER/ SAIL BOAT REGISTER
PLEASE COMPLETE THIS SECTION FULLY,ONLY REGISTERED BOATS ARE ENTITLED TO USE CLUB FACILITIES.
MAKE OF VESSEL:... NAME OF VESSEL:
POWER SAIL REGISTRATION NUMBER:.....
TRAILER/JINKER REGISTRATION NUMBER:.
BOAT COLOUR & DESCRIPTION:..
LENGTH OVERALL:. BEAM:.. DRAFT:
CONSTRUCTION MATERIAL:.. FUEL TYPE PETROL DIESEL
HORSEPOWER MAIN: AUXILLIARY:
FOR SAIL CRAFTKEEL TYPE FIXED SWING SAILNUMBER:..
Office Use OnlyDATE RECEIVED.. MEMBER No..
RECEIPT No... DATE..
7/27/2019 Hhbsc Nomination Form
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www.hamptonharbour.net.au
NICKOL BAY SPORT FISHING CLUB MEMBERSHIP RENEWAL/UPDATE FORM
(Please complete onlyif you wish to join, renew or want to update details for membership of the Nickol Bay
Sport Fishing Club)
Please complete the following table for yourself and family members if applicable that you wish
to be members, or update your membership details of the Nickol Bay Sportfishing Club and
the Australian National Sportfishing Association.
It is important to include dependent children/students dates of birth because there are junior
and sub junior divisions within the club with age categories.
surname Firstname
Email addressThe club communicated via email,
complete only if you wish to receive email
correspondence from the club regarding
club meetings and events, you can be
removed from the email list on request
Date ofBirth
dependent
children/
students only
member
partner
dependent
dependent
dependent
dependent
Please return this form with your Hampton Harbour Boat and Sailing Club application or renewal. A one
off nomination fee of $50 is payable for new members which includes immediate dependent family
members.
If you have any questions please contact the club on the details below.
Nickol Bay Sportfishing Club
Lot 306 The Esplanade Dampier WA 6713
Fax:91831612
E-mail [email protected]
Webpage :http://ansa.karratha.com