Diversey Yacht Club - Application for Membership 2008
Please accept my application
for membership in the Diversey Yacht Club.
My check, made payable to Diversey
Yacht Club, is enclosed. It is understood
that I will have club privileges when this application has been acted upon by
the Membership Committee and has been posted on the club bulletin board for the
10 days required in the Bylaws. I agree
to abide by the Constitution and the Rules of Conduct posted in the club and to
be responsible for the conduct of my guests, understanding that conduct
unbecoming a member may result in disciplinary action being taken by the
Compliance Committee.
Membership Categories and Fees
____ Regular
Member $600 - One who has a mooring assignment in
____ Non-Resident Member $500 - One who has a boat in a harbor other
than
____ Associate Member $500 – One who may not have a boat, but is
interested in the club for social purposes.
____ Initiation
Fee $100 – A one time only charge for new members.
____ Additional key cards - Each membership
receives two key cards. ______ Third card is $25. Three card limit per membership.
Information required for club records. Please
print.
Members last name:
_____________________________________ First name: _____________________ Initial:
_____
First mates last name: ___________________________________ First name:
______________________
Initial: _____
Childrens names and ages:
____________________________________________________________________________
Home address:
Business address:
Home phone:
______________________
Business phone:
_______________________
Cell: _______________________
e-mail address: _________________________________________________________________
Boat name:
________________________________________________________ Length: ___________
Slip: __________
Applicants signature:
_________________________________________________________________ Date: _____________
Applicant referred by:
_________________________________________________________________
Application received by:
_______________________________________________________________
Date: _____________
Method of payment: Check (make payable to Diversey Yacht Club) _____
MasterCard _____ Visa
_____
Credit card number:
_______________________________________________________ Expiration date: ______________
Name as it appears on credit card:
________________________________________________________________________
Submit payment and this application to:
Thomas Drew
Phone:
773-728-1097 e-mail: TeachDrew@aol.com
Committee
Action – Office Use Only
Posted:
_______________________ Approved: _______________________ Disapproved:
______________________
Copies to: Security _____ Membership _____ Roster Book _____ Newsletter _____ e-mail _____ Website _____
Date and method of
payment:
_________________________________________________________________________