MEMBERSHIP APPLICATION Back Creek Yacht Club - Mail this form | 
| MEMBERSHIP APPLICATION
Back Creek Yacht Club
P.O. Box 3029
Annapolis, MD 21403 | | NAME: | | SPOUSE: | CHILDREN
(Names / Ages | | | | | | | | | ADDRESS: | | CITY / STATE / ZIP | | EMAIL ADDRESS: | | SPOUSE / ALT. EMAIL | | HOME PHONE OFFICE PHONE | | MOBILE SPOUSE MOBILE | | SPOUSE OFFICE PHONE | | BOAT NAME | | BOAT TYPE (Sail or Power) | | MAKE / MODEL / LENGTH | | HOME PORT | | NAME of REFERRING MEMBER(S) | | | | CURRENT/PAST YACHT CLUB
AFFILIATIONS | | | | | Why do you wish to join BCYC? | | | | | | | Circle the activities and events you would like to participate in. | | CRUISING RACING EDUCATION SOCIAL | | | | SIGNED: DATE: | | Initiation Fee $150 Current Yearly Club Dues $200 | | |
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