Reinstatement of Lapsed Membership Application

Name: *

Name of Spouse/Partner: *

Address: *

Mailing AddressStreet AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Phone No.: (xxx-xxx-xxxx) *

Cell Phone: (xxx-xxx-xxxx)

Email Address: *

Name of Vessel:

Length:

Moorage Location:

Power or Sail:

Last Year of Previous Membership: *

Other Current Yacht Club Memberships:

Why are you interested in rejoining SBYC?

Check all that apply:

CruisesAttending Monthly MeetingsUsing Reciprocal PrivilegesLand-Based Social ActivitiesAttending Monthly Lunches

Other (please describe)

Would you like to help out on one or more SBYC Committees? If yes, please check your preference below: *

SBYC Committees:

Please check all applicableSocial:Cruising:Publications & Communications:Financial:Membership:

If no, do you have other talents that you would be willing to share with the club? Please describe:

I would consider holding office: *

Fees:

Reinstatement Fee (New) - $50.00 (required)Annual Dues - $55.00 (required)Marine Parks Forever - $10.00 (Optional)

Total Fees Due (based on items checked above): *

Please check how you will remit payment:

e-TransferRegular Mail: SBYC, P.O. Box 154, Gabriola, BC V0R 1X2Other

If Other, please describe:

Silva Bay Yacht Club