WELLWOOD YACHT CLUB MEMBERSHIP APPLICATION

PLEASE DOWNLOAD, COMPLETE, AND MAIL WITH APPROPRIATE FEES TO WELLWOOD YACHT CLUB,

C/O V/C EILEEN STEWART,  962 EAST BALTIMORE PIKE, KENNETT SQUARE, PA 19348

ALL APPLICANTS MUST BE INTERVIEWED BY THE MEMBERSHIP COMMITTEE

Date:____________  Name:________________________________________________________________

Occupation:______________________________________________  Birthday:_______________________

Address:________________________________________________________________________________

Phone (Home/Cell)________________/_______________Email:____________________________________

Mate's Name:__________________________________________ Birthday:________ Anniversary:________

Children's Names, Ages, & Birthdays__________________________________________________________

Boat Name:__________________________________________ Year:_____ Manufacturer:________________

LOA:_____  Beam:_____ Clearance:_____ Construction Type:__________  Location:_____________________

Electric: [  ] One or [  ] Two Cords @ 15, 30, 50 amps   Engine type/Make/Horsepower_______________________

Reason(s) for joining Wellwood Yacht Club _______________________________________________________

Have you or your mate ever belonged to another Boat or Yacht Club?________ Club Name:___________________

Did you/mate hold office in that club?______ Which office(s)__________________________________________

I/We promise to be an active and helpful member.  I will aid my fellow officers and members in any way I can to make all affairs, cruises, and parties a success.  I will help sell tickets and do whatever else is deemed necessary for the benefit of the club and its finances.  If accepted as a member I/we hereby agree to abide by the Constitution and By-laws of the Wellwood Yacht Club.

INITIATION FEE $50 / ANNUAL DUES $50.00 Per Adult / AMOUNT SUBMITTED____________

Applicant(s) Signature:________________________________________________________ Date:__________

Sponsor:__________________________________ Co-Sponsor:_______________________ Date:__________

Interviewer:_____________________ Date:_______      Interviewer:_____________________  Date:_________

Applicant(s) Approved_____ Disapproved _______  Date

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