LKWSZ Initial Joining Fee New Member Only $200

Spouses Name (optional)Spouses Name or N/A

Street Address *street Address

Suburb *Suburb

Postcode *Postcode

Phone Number *Preferred Contact Number

Email Address (Preferred) *Email Address (Preferred)

Email Address (Secondary) (optional) (optional)

Members RMDL Licence Number *Members RMDL Licence Number

Boat Make/Manufacturer *Boat Make/Manufacturer

Boat Model/Size *Boat Model and size as per registration papers

Boat Registration Number *Boat Registration as per registration papers.

Boat Colour(S) *Colour(s) of Boat. Primary/Secondary

Inboard/Outboard/Sterndrive/Jet *Motor and drive configeration

Boat registration expiry date *Must be current registration expiry date

Current Insurance Provider *Current Insurance Provider

Current Insurance Policy Number *Must Be current policy number

Current Insurance Policy Expiry Date *Must be expiry date of current insurance policy

Child 1 for WAWA insurance (optional)Child first and last name for WAWA insurance purposes. Optional

Child 2 for WAWA insurance (optional)Child first and last name for WAWA insurance purposes. Optional

Child Name 3 for WAWA purposes (optional)Child first and last name for WAWA insurance purposes. Optional

Child Name 4 for WAWA purposes (optional)Child first and last name for WAWA insurance purposes. Optional

Members Business For advertising (optional)Members Business for Advertising. Optional information

Advertise My Business with club members (optional) YES NO This information will be shared with club members via a contact list that is also optional to join

Share My Basic Information * Yes No Share My Name, Phone, and Boat Make/Model with members in the form of a contact list. Optional