RNSA On Line Application Form (original) (raw)

Personal Details

Title (e.g. Mr, Mrs):

Forename(s):

Surname:

Full Initials:

Known as name:

DoB( DD/MM/YYYY):

Do you hold any Service Decorations?: NoYes

Membership Type and Eligibility Criteria

Eligibility to join RNSA:

Membership Type You wish to Apply For:

Service of which a member: RNRMRNRRMRRFARNXSMOD(N)Other

Rank:

Service No:

Are you still serving as a member of the regular Naval Services? YesNo

Postal Address

Address Line 1:

Address Line 2:

Town/City:

County:

Post Code:

Country:

Use this address for correspondence/publications: YesNo

Tel Nos and EMail

Home Tel:

Work Tel:

Mobile:

E Mail:

Interests and Craft Ownership

Cruising:

Yacht Racing:

Dinghies:

Windsurfing:

Powerboats:

Do you own a vessel or dinghy?: NoYes

Privacy Options

Disclosure (determines what will be displayed in the RNSA Online Membership Directory and printed Yearbook):

Omit Rank(If this box is ticked your rank will be omitted from envelopes and mailings):

User name (once your membership application is approved you will be sent a password for the "Members Only" section of the RNSA Website) :