Catalina 22 Fleet 52 Membership Form

 

chkbox.gif (846 bytes)New

chkbox.gif (846 bytes)Renewal

chkbox.gif (846 bytes)Address Change

Your Name ___________________________________________________________________

Spouse's Name ________________________________________________________________

Address ______________________________________________________________________

City ______________________________________ State __________ Zip Code ____________

Phone (_______) ____________________________  Business (_______)__________________

E-mail _______________________________________________________________________

Boat Name __________________________________________________  Sail No. __________

Keel:

chkbox.gif (846 bytes)  Swing 

chkbox.gif (846 bytes)  Fin

chkbox.gif (846 bytes)  Wing

Interests:

chkbox.gif (846 bytes)  Cruising

chkbox.gif (846 bytes)  Racing

chkbox.gif (846 bytes)  Both

Crew:

chkbox.gif (846 bytes)  Looking for crew

chkbox.gif (846 bytes)  Available to crew

chkbox.gif (846 bytes)  Both

Home Waters / Marina___________________________________________________________

I am currently a member of the Catalina 22 National Sailing Association   chkbox.gif (846 bytes)  Yes      chkbox.gif (846 bytes)  No

Fees:

 

Fleet 52 Membership

$10.00

 

Catalina 22 National Sailing Association Membership

$25.00   (optional)

 

Total

______

Make check payable to Catalina 22 Fleet 52

Mail form and check to:

David Pilcher
Catalina 22 Fleet 52
7921 Meadowview Dr
Nashville, TN  37221