Membership Application

* Required field

Full Name of Primary Member

Username

Password

Minimum Requirements — Characters: 10

Confirm Password

Email Address

RMBOA profile

Primary Member Address

Full address including postcode of Main contact

Membership Postal Address

If different from Primary Member Address

Primary Member Phone

Main contact number

Number in Membership

Membership includes Primary member plus a Secondary member

Secondary Member Name

If applicable, full name of second member,

Secondary Member Address

If applicable or different from Primary

Secondary Member Phone

If applicable

Secondary Member Email

If applicable

Do you have a vessel?

Yes No

You do not need to have a vessel to be a member but if you attend RMBOA events in a vessel then we will require additional vessel information for insurance purposes.

Vessel Name

Vessel Type

eg cabin cruiser, canoe, paddle-wheeler

Vessel Registration

Vessel Mooring

If applicable.

Vessel Insurer

All vessels must be insured to participate in events

Vessel Insurance Expiry Date

By ticking the box you agree to abide by the RMBOA Code of Practice

I agree

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