MBYC Associate Member Application (2017)




 

 

 

ASSOCIATE
MEMBERSHIP APPLICATION 


All applications for membership and
renewals are subject approval by the CMC/MBYC Board of Directors.  


 



NAME:                  

 

 

 

                                 Last                                                                                       First                                                       MI

 

ADDRESS:

 


 

 

                                   Street
                                                                  City                                                  ST
         Zip

 

Phone:

 

 

 

                                  Home                                                     Business
                                            Cell

 

E-Mail
Address: 1.                                                                             

2.

 

Spouse:

Children:
1.

 

2.                                                                              3.
                                                           4.

 

BUSINESS
ADDRESS:

 

INTERESTS:

 

BOAT
INFO:

 

 

 

 

 

                                                                            Name                                   Make                           Length              Draft

 

SPONSOR
NAME:

 

I AGREE TO ABIDE BY THE RULES AND REGULATIONS OF
CMC/MBYC.

I understand keys remain property of MBYC and must be
returned for a refund of deposit upon resignation of membership. Keys may not be used by unauthorized
personnel

 

 

 

 

                         Applicants
Signature                                                                Date

 

For
Administrative Use Only: Please copy Secretary, Treasurer and Data Base
Manager

INITIATION
FEE $50

PAID

DATE:

2017
ANNUAL DUES $650

PAID

DATE:

APPROVED
BY THE BOARD OF DIRECTORS:

                                                                                                                                 Date                         Secretary
Initials

Key
Deposit: $50. Ea.

Paid:

Key
#(s)






















      Access
to all property (Full member)


                                                                                                   Date 

 

Secretary
Initials


 



:
 

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