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: |
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Vessel Information
Name |
Type |
Length |
Marina/Slip |
PHRF |
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Reason for Joining
_________________________________________________________
_________________________________________________________
Boating Experience _________________________________________________________
_________________________________________________________
| a |
Committee Interests
(Please choose at least two) |
a |
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Membership |
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Program Committee |
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Public Relations |
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Juniors Committee |
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Race Committee |
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Raffle Committee |
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Publicity
Committee |
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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: |
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| Membership Number: |
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