RCYC
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RCYC Members Information
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Surname & Initials:
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Account Number:
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First Name:
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Postal Address:
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Home Phone Number:
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Work Phone Number:
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Fax Number:
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Cellphone Number:
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Email Address:
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ID Number:
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Membership Start Date:
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Date of Birth:
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Boat Name(s)
if applicable:
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Mooring Number(s)
if applicable:
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Membership Category:
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Previous Committee Experience?
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If yes, where & what position?
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How would you like to receive your newsletter? e-mailed
posted
Thank you!