River Rat Yacht Club

Membership Application

 

Name(s):________________________________________________________________

 

_______________________________________________________________________

 

Mailing Address: __________________________________________________________

 

City and State: ___________________________________________   Zip: ____________

 

E-mail (1): _____________________________   E-mail (2):_________________________

 

Phone: (H) _______________________________     Work (1):_______________________

 

Work (2): ________________________________    Cell:___________________________

 

Boat Name: ______________________________________________________________   

 

Boat Model and size: ________________________________________________________

 

Who told you about us (member’s name:) __________________________________________

 

Why did you decide to join: ____________________________________________________

 

________________________________________________________________________

 

 

Please circle desired membership type:

 

            New Full member: $100 initiation fee (one time) plus $50 annual dues

 

            Renewing Full member: $50 annual dues in January

 

            New or Renewing Associate Member: $35 annual dues (no initiation fee)

 

Paid by: check ______                                 cash ________