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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 *
One Design Demo Fleet Name/Number *
Boat Type *
Sail Number
Boats Owned/Sailed (Check All That Apply):
Hull Number:
Boat Name:

Membership Benefits:

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Membership Type :
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