PLYC Membership Application

Personal Information Business Information
Name:
Occupation:
Spouse/Partner:
Company:
Address:
Address:
City, State, Zip:
City, State, Zip:
Home Phone:
Business Phone:
E-Mail:
 

Vessel Information
Name
Type
Length
Marina/Slip
PHRF
         
         
         

Reason for Joining      _________________________________________________________
                                      _________________________________________________________
Boating Experience    _________________________________________________________
                                      _________________________________________________________

a Committee Interests (Please choose at least two) a  
 
Membership
 
Program Committee
 
Public Relations
 
Juniors Committee
 
Race Committee
 
Raffle Committee
 
Publicity Committee
 
Newsletter/Web Committee


Signature:                                                                                   Date:                                                      

Sponsors:                                                                                      Initiation Fee:  $200.00
                                                                                                     Annual Dues:     $120.00
                                                                                                                     Total:  $320.00

Point Loma Yacht Club Use Only Point Loma Yacht Club Use Only
Date Paid: Comments:
Board Approved:  
Membership Number: