|
To submit
your application, Print out this page on your printer and send it and a check
for the membership fee (US $35) payable to Joshua Slocum Society International
Inc. to:
Joshua Slocum Society International Inc.
15 Codfish Hill
Rd. Ext.
Bethel, CT 06801, USA
Application for
Membership
First Name ___________________________ Last Name ___________________________
Address ______________________________________________________________________
City ___________________________ State/Province ____________________
Zip/Postal Code _________________ Country ________________________
Telephone ___________________
Fax ______________________
E-mail ____________________________
Boat Name __________________________________
Boat ownership is not a membership requirement)
Size/Type/Rig ____________________________________________
Hailing Port ___________________________________
Radio Call ____________________________________
Please enclose a note about your ocean passages/sailing/cruising
experience and/or comments, area of interest
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Signed ____________________________________ Date __________________
Back |
