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E A S T E R N S H O R E S A V E N T U R A Y A C H T C L U B www.esayc.com Membership Application Date: |
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| CAPTAINS NAME _____________________________________________ BIRTHDAY (month and day) FIRST MATES NAME __________________________________________ BIRTHDAY (month and day) ANNIVERSARY(month and day) HOME ADDRESS HOME PHONE WORK PHONE FAX OCCUPATION ______________________________________ CELL PHONE SPONSOR __________________________________ E-MAIL ADDRESS |
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| DESCRIPTION OF VESSEL | ||||||||||||||||||||||||
| NAME of BOAT_____________________ MAKE ______________________ GAS, DIESEL _________________ LENGTH and BEAM ________________________ DRAFT __________ CRUISING SPEED _________________ VHF RADIO? ________ MMSI#_________ GPS? __________ DO YOU OWN A DINGHY? ________________ |
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| PERSONAL INFORMATION | ||||||||||||||||||||||||
| HOW LONG HAVE YOU BEEN BOATING AND WHERE? ________________________________________________________ HAVE YOU TAKEN AND COMPLETED BOATING COURSES IN: U.S. COAST GUARD ______________________________ U.S. POWER SQUADRON OTHER(please list)_________________________________________________ WHAT PROGRAM TOPICS WOULD INTEREST YOU: HAVE YOU OR YOUR SPOUSE/SIGNIFICANT OTHER EVER BEEN DENIED MEMBERSHIP OR EXPELLED FROM ANY CLUB? IF YES PLEASE EXPLAIN ____________________________________________________________________________ HAVE YOU OR YOUR SPOUSE/SIGNIFICANT OTHER EVER BEEN CONVICTED OF A CRIME? IF YES PLEASE EXPLAIN ______________________________________________________________________________________________ |
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| CHECK THE COMMITTEES YOU WOULD LIKE TO PARTICIPATE IN: | ||||||||||||||||||||||||
| ________ Phone Squad ________ Membership ________ Program ________ Training and Safety ________ Financial ________ Club Photographer ________ Newsletter ________ Fishing ________ Good and Welfare ________ Port Captain __________ Fleet Captain ________ Other (All suggestions welcome)_______________________________________________ |
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| RETURN APPLICATION TO: | ||||||||||||||||||||||||
| Lea Sherman PLEASE ENCLOSE CHECK FOR $ 125 2500 Parkview Dr, Apt 2414 (ANNUAL DUES ) HALLANDALE BEACH, FL 33009 PAYABLE TO: EASTERN SHORES AVENTURA YACHT CLUB |
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| Applicants with eligible boats are considered for membership after attending two club functions | ||||||||||||||||||||||||