New Membership

2017
LITTLE HARBOR YACHT CLUB INCORPORATED
MEMBERSHIP FORM
Please be sure we have your current e-mail address!
Names____________________________________________________
Maximum of two names
Address___________________________________________________
Telephone numbers:
Home_______________ Boat/Cell: _________________
E-mail_____________________________________________________
Boat ownership: circle one: YES NO
Boat Name_________________________________________________
Power or Sail________ Manufacturer_______________
Boat Length________
Mooring__________ Dock________ Location________________
Names of children & ages (optional)
__________________________________________________________
_____ Renewal: Family (two or more) Membership - $100.00
_____ Renewal: Individual Membership - $75.00
_____ New Membership: Family (two or more) - $150.00
(Includes $50.00 application fee)
_____ New Membership: Individual - $125.00
(Includes $50.00 application fee)
For new Members: Sponsors___________________________________________________
Make check payable to: LITTLE HARBOR YACHT CLUB (LHYC)
Mail to: Liz Cacciola, LHYC Secretary
PO Box 215
Elkins, NH 03233
Return by March 31, 2017
A late fee of $10.00 is due after 03/31/17
www.lhyc.us “Like” us on Facebook email: littleharboryc@yahoo.com
New Products For February - Membership
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