Associate Membership Application

Please remember to select a payment method

(check or PayPal) at the bottom of this form.

Associate First name

Associate Last name

Email

Phone

Name of boat I crew on/associate with

I have experience in the following:

Racing

Crewing

Cruising

None

Other sailing organizations you are part of

ASA or marine vessel certifications you have

Are there any areas of interest you would like to know more about?

By entering your name and date below and pressing the SUBMIT button you agree to release the Lake Pend Oreille Yacht Club of any liability. Lake Pend Oreille Yacht Club reserves the right to deny, revoke or suspend a membership at any time.

Associate Full Name

Date