|
|
|
Date: ___________________ |
|
| Name: _____________________________________________________________________________ |
|||
| Spouse’s
Name: _____________________________________________________________________________ |
|||
| Name(s) and
age(s) of children under 21: _____________________________________________________________________________ |
|||
| Home Address: _____________________________________________________________________________ |
|||
| Home Phone: _____________________________________________________________________________ |
|||
| Cell Phone: _____________________________________________________________________________ |
|||
| E-mail
address: _____________________________________________________________________________ |
|||
| Profession: _____________________________________________________________________________ |
|||
| Business Address: _____________________________________________________________________________ |
|||
| Work Phone: _____________________________________________________________________________ |
|||
| Sailboats
owned and sailing background:
_____________________________________________________________________________ |
|||
| Sailing Interests: |
Racing ____ Race Management ____
Cruising ____ Social Activities ____ Youth Program ____ |
||
| Membership recommended by: | |||
| 1. _______________________________________________ |
|||
| 2. _______________________________________________ |
|||
| Enclose a check for the total of the following amounts: | |||
| $ _______________ |
Stock purchase (minimum of ¼ of the $500 share price) | ||
| $ _______________ |
Monthly dues (minimum of one month in
advance) $35.00 + $2.36 tax= $37.36 |
||
| $ _______________ |
Slip fee (minimum of month in advance) $20.00 + $1.35 tax = $21.35 |
||
| $ _______________ |
Dry dock (beach) storage (minimum of one
month in advance) $7.00 + 47 cents tax + 7.47 |
||
| $__________ | Total Enclosed | ||
| Signature of
Applicant: ________________________________________________________ |
|||
