VALCOUR SAILING CLUB
Membership Application
Name ________________________________________
Any address or phone # changes? Please (X) any information which is new over the last two years.
( ) Address ______________________________
( ) City ______________________________
( ) State/Zip ______________________________
( ) E-Mail ______________________________
Do you own a sailboat? Y_____ N______ If known, PHRF Rating? ____________
Boat Name: ___________________________
Boat Make: ___________________________
Sail Number: ___________________________
Type Of Membership
______ $100 Full membership (boat owners)
______ $ 50 Associate membership
______ $ 25 Crew/Small Boat membership
Please mail this application and payment to:
Valcour Sailing Club
P.O. Box 1362
Plattsburgh, NY 12901