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Membership Application
Membership Application
Sailors and Aspiring Sailors!
(…Power aficionados welcomed too …)
Discover the Best Kept Secret on Manhasset Bay
Application for Membership
Step
1
of
5
20%
Personal Details
Legal Name
*
First
Last
Nickname
Home Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Home Phone
Cell Phone
Email
*
Birth Date
*
Month
Day
Year
Retired?
*
Yes
No
Firm Name
Title / Position
Firm Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Nature of Business
Business Phone
Business Email
I am/have been a member of the following clubs/social/service/charitable organizations (if office, please list):
Hobbies and Interests
Please check all that apply
I have a spouse/partner
I have children
I currently own a boat
Spouse / Partner
Spouse's / Partner's Legal Name
First
Last
Nickname
Do they share the same home address as you?
Yes
No
Home Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Home Phone
Cell Phone
Email
Birth Date
Month
Day
Year
Retired?
Yes
No
Firm Name
Title/Position
Firm Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Nature of Business
Business Phone
Business Email
Spouse/Partner is/has been a member of the following clubs/social/service/charitable organizations (if office, please list):
Hobbies and Interests
Children
Children's Names & Ages
Name
Age
References
References
Name
Address
Telephone
Email
Please list at least two references
Your Boat
Vessel Name
Manufacturer
Year Vessel Manufactured
Model
Dimensions
Length
Beam
Draft
Additional Details
Hull Number
PHRF
Year Acquired
Attach a copy of Documentation/Registration, if available
Accepted file types: pdf, doc, docx, txt, Max. file size: 20 MB.
Boat photo, if available
Accepted file types: jpg, gif, png, tif, Max. file size: 10 MB.
Sailing Experience
Please provide a brief statement of the number of years you have been boating and a description of your sailing experience, including prior vessels owned.
I would like to upload my sailing resume
I would like to type this online
Sailing Resume
Max. file size: 512 MB.
Brief statement of the number of years you have been boating and a description of your sailing experience, including prior vessels owned.
Please feel free to share any life experiences, talents, or interests which you believe may be of interest to, or helpful to, the Club
Membership
I/We shall be willing and able to serve on committees and participate in Club activities (Check your interests)
Social & Entertainment
Fleet
House
Cruising
Racing
Launch Engine Maintenance
Marketing & Communications
Newsletter
Directory Editor
Photo
Website
History
Membership
Education
Finance
Investment
Audit
Legal & Insurance
By-laws
There are Spring & Fall Membership Meetings and I/we agree to make every effort to attend.
I/We understand
All members are expected to complete an annual work requirement or, in the alternative, pay in-lieu of work.
I/We understand
If elected to membership, I/We will abide by the Club Rules, Regulations, and By-Laws, and I/We will pay all dues and charges.
I/We acknowledge that all of the above statements are true.
70077
Membership
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