Form test Title*Name Fields* First Name Last Name Address Fields* Street Address City State / Province Zip / Postal Code Phone Number* Email*Are you joining as a student? If so please give Date of Birth*Do you own a boat? If yes please state type:*Do you keep your boat in Milford Haven Marina?*Will you require boat parking?*Would you like to join the PYC rowing section? *Will you require a mooring?*Please list any RYA or other water related qualifications you may holdPlease give names of any sporting or social clubs of which you are a memberI submit my application for membership of the Pembrokeshire Yacht Club. If elected I agree to abide by the Rules and Constitution of the club, and to pay my subscription and Rowing Surcharge (If applicable) by Direct Debit. Date Submit Form
