Membership Application Form
DETAILS ABOUT YOUR SCHOOL/ORGANISATION
Name: / Principal/Owner:Address:
Telephone: / Fax:
Web Site: / Date school formed:
Contact Name: / Email:
School Boats:
How many in your fleet
Dinghies / Catamarans / Windsurf / Keelboats / Yachts
Membership: / Please provide details of other memberships/affiliations which your school holds e.g member of National Sailing Authority
Reference: / Please provide details of a referee to support your application eg Local Authority, National Organisation, ISSA member etc)
DETAILS ABOUT YOUR PERSONNEL
Name / Qualifications(include name of organisation issuing certificates)Trainers
can train instructors / Please send copies of certificates
Advanced Instruct
can teach Levels 1, 2, 3
Instructors:
Can teach levels 1 & 2 / Please provide details of how many instructors are used during the year
DETAILS ABOUT YOUR COURSES
Teaching Scheme: / What scheme do you currently use at your school? ,Certificates: / What do students receive at the end of your courses? eg certificates, logbooks etc
Standards: / How do you ensure that standards of tuition & safety are maintained? eg procedures manuals, inspections etc
Students: / How many students have received instruction in the last 12 months
Any Other Information:
ANY OTHER INFORMATION (Please add any extra information in support of your application)
PLEASE RETURN TO
ISSA Global, 22 Lecha Street, 03-610 Warsaw, Poland
Web Site Entry Details
If your application for membership is successful, the following details about your sailing school will be posted on the ISSA web site, as part of the ISSA membership benefits. If your are not sure what information to include in this section, have a look at the ‘Where to Sail’ page on the ISSA web site.
Do not complete the following boxes if the information is the same as on your application form
Name:Address:
Telephone: / Fax:
Web Site / Email:
Do you wish to list more than one school on your web site entry? / If yes, please send details of address etc
Please include a link to the ISSA web site ( on your web site
General Information about your Sailing School (maximum 150 words)
This information will normally include details about your facilities, the courses you offer, types of boats, certificates
Do you wish to include your school logo on the ISSA web site? / If yes, please send file in .jpg formatMembership Fees paid by Bank Transfer (Please tick type of membership)
Individual / Sailing School / Sailing Associations& Multi-base Schools / National Authority / Industry
€25 Euro / €130 Euro / €400 Euro / €600 Euro / €500 Euro
Please make Bank Transfer payable to:
ISSA, Nordea Bank
SWIFT/BIC: NDEAPLP2 IBAN: PL83144011010000000014918299
Please ensure that you pay both your charges AND ISSA charges when making the transfer
Membership Fees paid by Credit Card (Please tick type of membership)
Individual / Sailing School / Sailing Associations& Multi-base Schools / National Authority / Industry
€29 Euro / €143 Euro / €440 Euro / €639 Euro / €540 Euro
All card details will be destroyed when payment has cleared / Credit card rates includes a surcharge for card processing charges
Visa / Master Card / Sorry but we cannot process any other type of credit card
Card Name
Card
No:
Start Date / / / Expiry Date / /