Fircrest Yacht Club
Join us

FIRCREST YACHT CLUB

MEMBERSHIP APPLICATION

Blank Form


Dues ($60 annual-prorated @ $5.00 per month), initiation fee $100
Name(s):
Street Address:
City, State, Zip:
Phone (s):
Cell Phone (s):
E-Mail:
Children's names:
Your birthdates (mo/day):
  Preferred method to receive newsletter E-Mail
  US mail
  Have you, at any time, taken a Power Squadron or Coast Guard Auxiliary Boating Safety Class? Yes
  No
Boat name:
Boat make/model/year:
Boat length:
Boat moored at:
 
 

Required Attendance to apply for membership:


Meeting:
Cruise/Function:
Sponsor's name (if you have one):
 
Copyright . Fircrest Yacht Club. All rights reserved.