| Please fill this form out completely and truthfully. |
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| Full Name:
DOB:
(MM/DD/YYYY) |
| Occupation:
Email:
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| Home Phone:
Mobile Phone:
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Mailing Address:
Street:
City:
ST:
Zip:
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Billing Address:
Same as mailing address
Street:
City:
ST:
Zip:
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Spouse/Significant OtherInformation:
Full Name:
DOB:
(MM/DD/YYYY)
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Children's Information:
Please list the full name and age of each of your children below. Please use a separate line for each child.
(Ex., Child's Full Name, Age 12)
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How do you want your name tags to read?
(Ex., Captain Johhnie Boatman)
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| Annual membership donations $49.99. Introductory offer $19.99 until May 1, 2009 |
Please check one.
I am a:
Boat Owner
Non-Boat Owner
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Name of vessel, if any:
Make/Model:
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| Type (Sail/Power):
Length:
Documentation/CF Number:
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| SailNumber:
Where Berthed:
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If you share ownership of your boat, state the name and address of all co-owners.
Please use a separate line for each co-owner.
(Ex., Johhnie Boatman, 3311 Pier Avenue, Port Luck, ST 99909)
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Do you own other boats?
If so, please list the name of each boat below. Please use a separate line for each vessel.
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RACING MEMBERS:
List the boat(s) you crew on and the Skipper's name. Please use a separate line for each vessel.
(Ex., The Aquascore: Captain Johnnie Boatman)
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| Club Participation |
Race Management - Race Committee, Crash Boat, Maintenance
Social - Entertainment, Party Planning
Junior Sailing – Management, Foundation, Boat Repair
Cruising – Organization, Social, Awards
House - Interior Decorating, Bar/Dining Room, Show Case
Telephone – Management, Committee Member
Publications – Newsletter, Mailers, Advertising, Directory
Membership – Marketing, Publication, Welcome Committee
Buildings & Grounds – Club Maintenance, Painting, Construction, Boat Yard
Finance & Budget - Club Funding, Budget Development, Expense Analysis, Auditing
What are your special skills that the club could use?
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| Boating Background |
Why are you joining the BBCA?
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| Digital Signature |
I hereby agree to abide by the By-Laws of the BBCA and any amendments thereto. In the event I should be delinquent
in the payment of dues for a period of over 30 days, I understand that my membership will be terminated. Each family member 18 years or older desiring to join, must submit required membership donation.
Annual membership dues are in he amount of forty nine dollars and ninety nine cents ($49.99) shall be paid each year.
Method of payment shall be in the form of cash, money order, cashier check or credit card. We encourage all payments be made
using our electronic payment method system (PayPal) to expedite membership processing.
After clicking the "Submit" button below, you will be redirected to the payments page.
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