Salem Yacht Club

Salem, New Jersey

Application for Membership

I / We______________________________________________________________hereby apply for membership in the Salem Yacht Club.  I / We understand that we must first attend at least one social function of the club prior to action upon this application.

Please complete the information below and sign where indicated.

Captain's name____________________________________________________Shirt size  S   M   L   XL   XXL

Nick name________________________________________________________

First Mate's name__________________________________________________Shirt size  S   M   L

Nick name            _______________________________________________________________________________

Address_______________________________________________________________________________________

City_______________ State________ Zip_________

Home Phone______________ Fax ______________Work ______________Cell ___________________

E-Mail__________________________________________________________________________________________

Birthday: Captain ___/___/_____ First Mate ___/___/_____ Anniversary ___/___/_____

Boat Name: ________________________________________________ Marina ____________________________

Make:_____________________________ Length:_____ Beam:_____ Draft:_____ Elect: 30's____50'S______

If accepted, I / We hereby agree to become familiar with and abide by the Salem Yacht Club Rules of Conduct and Bylaws, as set forth in the annual club roster publication.

_______________________________________________________________________________________________

Applicant Signature                                             Date                Co-applicant Signature                                   Date 

_______________________________________________________________________________________________

Recommending Member /  Officer                       Date                Membership Committee Chairperson            Date

Annual Club Membership Dues of 50.00 are payable to "Salem Yacht Club" upon submission of this completed application to the Membership Committee Chairperson. The Recommending Member will introduce the Prospective Members to the Membership Committee and other Club Officers at the next club activity.