Individual & Family Membership

First Name *

Last Name *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Country

Email *

Club or Fleet Affiliation *

US Sailing Membership Number

Boat #1

Boat #1 Sail Number

Boat #2

Boat #2 Sail Number

Additional Family Members

Individual & Family Membership *

Price: $ 20.00

Email