Date: ______________________________________

Name: _______________________________________________________________

Spouse/Partner: ______________________________________________________

Summer Local Address: ________________________________________________

Winter Local Address: ________________________________________________

Mailing Address (if different than above) ____________________________

Telephone numbers: Residence: Summer:___________ Winter: ___________

Office: ________________ Cell: _________________

Email address: _______________________

How would you like to receive your RYC Newsletter?

Mail: ____ Email: ____ Both: ____

The following questions will help us get to know you better:

What do you expect from your membership in the RYC?
___________________________________________________________________

Area(s) of club you are interested in joining:
Racing: _____ Cruising: _____ Social: _____

Any comments on area indicated: __________________________________________

Give something back to your Club:
As you know, our club is run totally by volunteer workers. If you wish to offer us some help, please fill out the following:

Would you be willing to give some of your time to the Club? Yes ___ No ___
If yes, how many hours per month: _______
What area(s) would you like to help in?
Social Events: _____ Racing: _____ Cruising: _____ Administration: _____ Other:
________________________________________________________________________________

Boat Info:
It is not necessary to own a boat in order to be a Club member,
however, if you do own a boat, please fill in the following:

Name of vessel: __________________________ Make: ______________ Power: ___ Sail: ___

Length: ______ Beam: ______ Where docked or moored: ____________________________

(Cell) Telephone number to reach you on your Boat: ___________________________________

The membership year is January 1 to December 31.
2003 Membership dues are:
$80.00 for Single Member, $100.00 for Couples or a Family Membership and $25.00 for Associate Members (non-voting, non-boating)
Please complete the above with all new applicants' names.

Checks should be made payable to: Rockland Yacht Club

Return application and payment to:

Diane Hébert
18 Shearmans Lane
Owls Head, ME 04854
Residence: 594 7004
Office: 596 5994
Fax: 596 5977
Email: dianehebert@leisuremaine.com