Join the Central States Sailing Association

Register : 2010 Central States Sailing Association Membership

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First Name
Last Name
Address
City
State/Province
Zip/Postal Code
Country

Phone Number
Work Number
Cell Number
E-mail Address

Birth Date (mm/dd/yyyy)
Gender	Male Female
US SAILING Number
Yacht Club
Boat Type
Sail Number
Would you like a CSSA PHRF Rating:
Would you like a US SAILING PHRF Rating:
Are you interested in participating in US SAILING events:
Are you interested in serving on a CSSA Committee:
Are you interested in becoming a Certified Principal Race Officer (PRO):
Are you interested in becoming a Certified US SAILING Judge:

Select Your Desired Membership Type

Membership Benefits:

CSSA Memberships are for the membership year November 1 through October 31. Memberships includes a 12 month subscription to the CSSA CIRCUIT.

Membership Type :

Family Information

Please enter family member names as they should appear on membership cards. Send first and last name, DOB, class sailed and sail number for each additional family member. One newsletter is sent per family. A membership card is issued for each family member.

FAMILY MEMBER 1:
First Name
Last Name
Date of Birth
Gender	Male Female
E-mail Address
Phone Number
US SAILING Number
Boat Type
Sail Number

FAMILY MEMBER 2:
First Name
Last Name
Date of Birth
Gender	Male Female
E-mail Address
Phone Number
US SAILING Number
Boat Type
Sail Number

FAMILY MEMBER 3:
First Name
Last Name
Date of Birth
Gender	Male Female
E-mail Address
Phone Number
US SAILING Number
Boat Type
Sail Number

FAMILY MEMBER 4:
First Name
Last Name
Date of Birth
Gender	Male Female
E-mail Address
Phone Number
US SAILING Number
Boat Type
Sail Number

Membership Type : Please Select Family - $15Regular - $10Contributing - $20Supporting - $25Corporate - $50Sponsoring - $100

Membership Type :