Membership and Sail Number Application Form
Items with an asterisk (*) are required fields
Owner's Name
*
First Name
Last Name
Address Line 1
*
Address Line 2
Address Line 3
Address Line 4
Region
*
Please Select
Northland
Auckland
Waikato
Bay of Plenty
Taranaki
Hawkes Bay
Manuwatu-Whanganui
Wairarapa
Wellington
Marlborough
Nelson
Canterbury
West Coast
Otago
Southland
Postcode
*
Phone Number 1
*
Phone Number 2
E-mail
*
Name of Radio Yacht Club
*
Please Select
Christchurch Model Yacht Club
Cromwell Radio Yacht Club
Gulf Harbour Radio Yacht Club
Kapiti Radio Yacht Club
Kerikeri Radio Yacht Squadron
New Plymouth Radio Control Yacht Club
North Shore Radio Yacht Squadron
Northern Maritime Model Society (Wattle Farm)
Orakei Yacht Club
Otago Radio Yacht Club
Pegasus Radio Sailing Club
Radio Yacht Squadron Nelson
Tauranga Radio Sailing Club
Waiheke Island Radio Yacht Club
Waikato Radio Yacht Club
Wellington Radio Yacht Club
Westhaven Radio Sailing
None
Preferred Sail Number(s)
*
Preferred Number(s)
DragonForce65
DragonFlite95
Fee
Association membership and sail number allocation fee: $7.00 per sail number. Please pay fees via online banking to DFRacingNZ account: 06-0592-0527331-00
Data Protection
The information collected via this form is required to facilitate the administration of DFRacingNZ. Please refer to the DFRacingNZ Data Privacy Policy for more information on use and protection of your personal data.
*
By submitting this entry form, I agree to abide by the DFRacingNZ Constitution and Regulations.
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