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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: email@example.com
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