$149.00 $99.00
Full Legal Name *
Nick Name (if preferred over legal name)
Mailing Address *
Telephone *
e-mail address *
Sex: M / F *
Birthdate *
Owning a boat is not a requirement of becoming a member, but if you do please provide us with the Boat Name, Make, Model, size, and power vs sail, for inclusion in our roster.
Were you recruited by a current member? What is their name?
By entering your name here, you are signing the application: *
