BYC MEMBERSHIP APPLICATION

This form can either be completed and sent electronically by hitting the "Submit" button, or it can be printed and submitted by mail (with check) to:

Bellingham Yacht Club
2625 Harbor Loop Bellingham, WA 98225
Tel: 360-733-7390  

NOTE: BEFORE SUBMITTING THIS FORM WE SUGGEST THAT YOU PRINT A COPY FOR YOUR RECORDS.
All items marked with a * must be completed as well as credit card information, if used as payment.

Order your member's name badge online
Applicant's First Name*
Applicant's Last Name*
Street Address* City* State* Zip*
Email address*
Day phone* Evening phone* Cell phone
Fax number
Applicant's birthdate* Occupation of Applicant*
Applicant's spouse or partner's name*
Applicant's spouse or partner's birthdate*
Are you a boat owner? Yes No , if yes Power or Sail
If yes: Length (ft) Make
Name of Vessel:

OK to email jib sheet* Yes No
(E-mailing the Jib Sheet newsletter saves our Club money and speeds delivery to Members!)


Other Club memberships:

Names of Children, if any:

MEMBERSHIP CATEGORIES: ACTIVE: All except Non-Resident and Intermediates. NON RESIDENT: Applicant attests residency more than 50 miles away more than six months ayear. INTERMEDIATE: Attests under Age 30.

Membership in the BYC is yearly. Dues for 12 months must be committed or paid with application for it to be valid. After first year dues billing will be automatically pro-rated to September 30 expiration. This application shall not be binding upon the Club until written notice of acceptance and/or membership card(s) is/are issued by the Club. Signature (initials) of Applicant confirms that he/she acknowledges Club Membership is governed by the Club By-Laws.

Category Requested*
2004-5 Dues
Initiation Fee
Total
Active
$300
$100
$400
Non-Resident
$200
$100
$300
Intermediate
$150
$50
$200

By Checking this box * I, the applicant, accept and agree to the above conditions.
DATE: * INITIALS: *

Applicant sponsored by following BYC members (name and telephone number)*:
Payment by credit card - all of the following must be completed
Credit card payment*: Visa Master Card
Card number (four numerals per box please)*:
Expiration date*: Month Year
Card holder's name as it appears on card*:
Comments (if any)
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Last modified : Wednesday, April 27, 2005
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