Membership Checkout – Kapiti Boating Club

Membership Level change

You have selected the Country membership level.

Senior outside KCDC area

The price for membership is $55.00 per Year.

Make a Gift $

Account Information Already have an account? Log in here

Username

Password

Confirm Password

Email Address

Confirm Email Address

Full Name LEAVE THIS BLANK

Member Information

Membership Name

Phone Number for text messages

KBC may occasionally send important alerts and club text messages to your mobile phone

Boat Information

This information is held and may be important in an emergency.

Do you own a boat

Boat Name

Boat Type

Sail Number

Class or make

Length

Power Unit

Hull Colour

Cabin Colour

Distinctive Markings

Radio Call Sign

Trailer Registration (Number plate number)

Boat Image

Add an image of your Boat

Emergency Contacts

Contact Name 1

Contact Phone 1

Contact Name 2

Contact Phone 2

Declaration

I declare

I wish to be a member of the Kapiti Boating Club

Has your membership of any other Boating/Chartered club ever been declined suspended or revoked or been the subject of disciplinary proceedings?

Name of Club and details

Have you ever been convicted of any crime under the crimes act?

Please advise date and details

Would you like to set up automatic renewals?

Yes, renew at $55.00 per Year.

Billing Address

First Name

Last Name

Address 1

Address 2

City

State

Postal Code

Country

Phone

Payment Information We accept all major credit cards

Card Number

Expiration Date

CVC

Join our mailing list.

Kapiti Boating Club