2008

LAKE TAHOE

WINDJAMMERS YACHT CLUB

MEMBERSHIP APPLICATION

 

DATE:                                                MEMBER SINCE : ________________________

 

NAME:                                                                                   PHONE:                                

           

SPOUSE'S NAME:                                                                          

MAILING ADDRESS:__________________________________                                                     

CITY/STATE:                                                                        ZIP:                                        

FAX:________________                                   E-MAIL: _________________________

BOAT NAME: _______________                   MAKE & MODEL: ________________                                          

LENGTH: ___________ RADIO/VHF: YES ___ NO ___SAIL NUMBER: ________  

PENALTY EQUIPMENT: YES___ NO__  SPINNAKER: YES     NO____

USSAILING MEMBER:      YES      NO                             USSAIL #_______________            

INSURANCE CO: _____________________    POLICY #:__________________                       

            DUES:       

                    REGULAR:                           $100.00 X          = $                                         

                        ASSOCIATE:                         $50.00 X          = $                 

                        JUNIOR:                                $20.00 X         = $                 

                        JUNIOR DONATION:                                 = $ 

             New Member Processing Fee --- $10.00X       = $      

        TOTAL:                                                                       $                 

 

Membership: Dennis Hogan 775.750.1100 dfhogancd@yahoo.com

MAIL APPLICATION TO:  LTWYC

                                                                                P.O. BOX 10466

                                                                                SOUTH LAKE TAHOE, CA 96158-3466