A membership fee of Fifty dollars ($50) should accompany your application.



Street Address

City           State    Zip       Phone


Do you own a sailboat  Yes      No                Type  Length

Year of sailing experience

Other sailing clubs/associations you belong to:

Sailing clubs/associations you have belonged to in the past:

Signature                      Date

Please print this form, and then mail with your payment to:

Jane Doe
111999 Avenue Of The Americas
Englewood, FL 34221