INITIATION FEE: $50.00 DUES: $125 PER PERSON/COUPLE YEARLY
NAME (S):
MAILING ADDRESS:
CITY:
STATE:
ZIP:
PHONE:
HOME: BUSINESS:
HOME:
BUSINESS:
E-MAIL ADDRESS:
OCCUPATION: (IF RETIRED STATE PROFESSION):
ARE YOU PRESENTLY OR FORMERLY AN OFFICER OR DIRECTOR OF ANOTHER YACHT CLUB?
Yes No
IF SO CLUB NAME: OFFICES/YEARS SERVED:
IF SO CLUB NAME:
OFFICES/YEARS SERVED:
BOAT INFO:
(LENGTH) (MFG. NAME) (BOAT NAME)
(LENGTH)
(MFG. NAME)
(BOAT NAME)
IF MARRIED, MONTH OF ANNIVERSARY? Select month JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
SPONSORED BY:
1. 2.
1.
2.
Last updated: 09/07/2008