Member Registration

Please complete as much of this application as possible (required fields are marked with a red asterisk).
When you have completed the form, click on the "Submit" button on the bottom of the page. Upon completion you will receive an email you will need to respond to, this will activate your account and allow you to access the Members area and pay for your membership either by check or securely online through PayPal.

If you were a member at any time in the past please follow this link to renew!

One time application fee: $25.00
Annual membership fee: $25.00
Total` due for new members: $50.00

Personal Information
Member's Name: First MI Last: Suffix:
Spouse's Name First: Last: Nick Name(s) (John & Sue)*
Username:
Password:
Re-type Password:

Address:
City:
State/Province:
ZIP/Postal Code:	Please enter zip+4 code if known
Use this address for: ( If un-checked the 2nd address will be used)	Billing Winter Bulletin Spring Bulletin & Year Book Fall Bulletin
Foreign Address? If so what country?
2nd Address:
2nd City:
2nd State/Province:	Please enter zip+4 code if known
Summer Zip/Postal Code:
PHONE 1:	(Phone Number)
PHONE 2:
May we print your phone number in our Membership Book?: Yes No
EMail:
Would you like your e-mail address published in our Membership Book? Yes No
Boat Information
Boat Original Name:
Boat Current Name:
Date Purchased:
Former Owner:
Home Port:
Year Built:
Designer:
Builder:
Where Built:
Length on Deck:
Beam:
Sail Area:
Draft:
Displacement (lbs.):

Member Registration

Personal Information

Boat Information