Membership Application

To the Commodore and the Board of Directors:

I hearby apply for membership in the Constitution Yacht Club and, if accepted, I agree to conform to and abide by its by-laws, resolutions and any amendments made thereto and also to all orders, rules and regulations of the Club.

Name

First Name

Last Name

Sponsoring Member

First Name

Last Name

Date

MM

DD

YYYY

Email Address

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Emergency Contact

Emergency Contacy Phone

(###)

###

####

Boat Name:

Manufacturer/Model

Berth Location