Name: Tel. Land Line:

Address: Mobile:

DOB: Email: Please tick to opt out of IWSF email d/base:

Status: (1) Renewal: (2) New Applicant

2008 Membership Type:

Founder - Ski Tow Credit **** €100

Existing 20 Year - Ski tow Credit Only **** €100

Full New Member inc Ski tow Credit **** €600

Adult Renewal inc Ski Tow Credit **** €500

Student** inc Ski Tow Credit **** €300

Child (under 18) inc Ski Tow Credit **** €200

Site Improvement and Amenity Contribution

Total

"I, the undersigned hereby acknowledge that I have read fully and agree to abide by"
and uphold the constitution and rules of Muckno Waterski & Wakeboard Club.
( A copy of which is available to read at the clubhouse).

Signed

Date:

Signature of Parent or Guardian if under 18

* Subject to verification by the committee
** To qualify as a student you must produce a current valid Full-Time student identity card. No Exceptions
*** Any Photographs or Videos taken at the club may be used in promotional material
**** Ski tow credit of €100 included in membership fee.

Book a Ski - Call our full time boat driver on 087 7402806

Please Print and return by post to: Ciaran Agnew,45 Fane View, Blackrock,Dundalk,Co.Louth