CHANNEL DASH ASSOCIATION

MEMBERSHIP APPLICATION FORM

Name:           ________________________________

Address:        ________________________________

                     ________________________________

                     ________________________________

Tel. Number:  ________________________________

email Address: ________________________________

Annual Subscription:   £5.00

Cheque to be made payable to:  Channel Dash Association

and sent to Hon Secretary:     Mr. Peter Nixon

                                           189, Ramsgate Road,

                                           Broadstairs,

                                           Kent. CT10 2EW

(To download Application Form please right click on page and select 'Print' from drop down menu.)