Application For Membership

Regular_____Reinstatement_____Continuation_____

Name___________________________________________________Birthdate_______________________

Address_______________________________________________________________________________

City______________________________State__________Zip___________Home Phone_______________

Profession or Occupation_________________________________Business Phone_____________________

Business Address______________________________________E-MailAddress______________________

Members of immediate family for whom club privileges are desired:

Spouse_________________________ Children (Name & Birthdate) 1._______________________________

2.__________________________3. __________________________4._____________________________

Boat Owner? Yes________No________ Plan to purchase? Yes________No________

Yacht Name_________________________ Type____________L.O.A.______Beam_______Draft_________

Sole Owner? Yes______ No______ Name of Other Owners________________________________________

Sailing Experience:_______________________________________________________________________

In the event of my election to membership in the Raritan Yacht Club, I hereby agree to abide by its by-laws and all rules and regulations now in force or hereinafter adopted by the Club, so long as my membership continues.

Signed _________________________________________________Date ___________________________

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I hereby endorse ________________________________________ for membership in the Raritan Yacht Club.

Signed_________________________________________________Date____________________________

I hereby second the endorsement of___________________________for membership in the Raritan Yacht Club.

Signed_________________________________________________Date____________________________

Membership Committee Recommendation: Approve_______Disapprove________

Membership Chairman_____________________________________Date____________________________

Board of Governors: Accepted ________Rejected________To be reconsidered on:______________________

Secretary______________________________________________ Date:____________________________