TON CLASS ASSOCIATION - APPLICATION FORM

PLEASE PRINT OUT THIS APPLICATION FORM, AND COMPLETE IN BLOCK CAPITALS.

I wish to be enrolled as a member of the 'Ton Class Association' and will endeavour, at all times, to further the principles of the Association. A Membership Directory is published annually, so please inform the Membership Secretary if you do not wish your name, address and telephone number to be included in this Directory. For the purpose of compiling the Directory, would you please supply the following information as accurately as possible.

(* Please delete as necessary)

CATEGORY OF MEMBERSHIP:   * FULL / ASSOCIATE 

SURNAME:

DATE OF BIRTH:

FIRST NAMES: RANK/RATING:
ADDRESS:
 
COUNTY/STATE: POST/ZIP CODE:
COUNTRY:

* RN / RAN / SAN / RNR / RNVR / OTHER (please state) 

* SERVING / RETIRED

* TON / HAM / LEY / MS SUPPORT ETC.

DECORATIONS:

PHONE NUMBER AND/OR EMAIL ADDRESS:                                   

DETAILS OF SERVICE: 

SHIP/S: FROM: TO:
. . .
. . .

  Please use the reverse of this Application Form to supply more details.

 * I wish to pay the annual subscription fee of 10.00 (TEN POUNDS - STERLING) by Cheque/Postal Order, & my initial fee, payable to the TON CLASS ASSOCIATION is enclosed.

 * I wish to pay the annual subscription by Standing Order Mandate (SOM), & my SOM is enclosed. (Click here)

 * I wish to become a Life Member of the TCA & my cheque to the sum of 100 (ONE HUNDRED POUNDS - STERLING) is enclosed.

SIGN: ........................................ DATE: ........................................

This Application Form should be forwarded to:

TCA Membership, Mr. Dennis COOK, 5, MANVERS STREET, WORKSOP, NOTTINGHAMSHIRE,

 S80 1SD