Salty Dawg Form 2023/2024

    1 Person joining for 1 month - US$42

    1 Person joining for Season (Expires 31 March 2024) - US$123

    Couple Joining for 1 month - US$72

    Couple Joining for Season (Expires 31 March 2024) - US$215

    Full Name, Include Partner's Full Name as well if you choose couple membership
    please include middle name(s) (required)


    Email Address(required)

    Please fill in all relevant sections

    Your Mailing Address

    Home Phone Number

    Mobile Phone Number

    Work Phone Number

    What are your Main Areas of Interest? Please select as many as appropriate

    Leisure SailingYacht RacingDinghy TrainingDinghy RacingPower BoatingSocial Events

    PAYMENT

    Card type - please select

    VISAMastercard

    Name of Cardholder

    Card Number

    Expiry Date - mm/yy

    Card Security Code (3 digit number on the back)

    Amount of Payment, (US$)