* 1. What is your full name?

* 2. We may need to contact you by phone, please fill in the various phone numbers you may like us to contact you on.

* 3. On occasion we are required to contact our members by post, which address would you like to be notified on?

* 4. At what email address would you like to be contacted?

* 5. If you are a skipper and own one or more boats. Please list the boat name(s), sail number(s) and location(s) in the text boxes provided. 
If you are a crew fill in only the boat name and number and the location where you sail.

* 6. What is your YA number? (silver card)
If you are unsure of your number you can find your details on the Yachting WA website or speak with your yacht club to obtain your YA number.

* 7. Indicate your membership category by selecting one of the following categories

* 8. Please advise us how you have paid for this membership.

* 9. Date funds transferred to FFI-WA