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Membership Application

SLTWYC Membership Application

Select desired membership level*

Single

Couple

Associate/Junior

Name*

Cell Phone*

Email Address*

Spouse/Partner Name

Spouse/Partner Cell Phone

Spouse/Partner Email Address

Mailing Address*

City*

State*

Zip*

Boat Owner*

Power Boat

Sailboat

No Boat

Boat Name

Boat Length

Manufacturer/Model

Sail Number

U.S. SAILING Member

Yes

SO. CAL. PHRF

Insurance Company

Policy Number

Would you be interested in assisting with club business?

Yes

How did you find us?

Referred by

DISCLAIMER: By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.

Applicant*

Spouse/Partner

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This application will be reviewed by the SLTWYC Executive Board and you will be notified. Upon acceptance, annual membership and initiation fees will be collected.