Membership Application

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SEAL BEACH YACHT CLUB

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Proposal for Membership

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First name(Required)

MI

Last name(Required)

Email(Required)

Phone(Required)

Address Line 1(Required)

Address Line 2

City(Required)

State(Required)

Zip(Required)

Birth Month

Birth Date

Co-Applicant Information

Co-Applicant First Name

Co-Applicant MI

Co-Applicant Last Name

Co-Applicant Email

Co-Applicant Phone

Boat Information

Boat Type(Required)

Sail

Power

No Boat

Boat Name

CF or Doc #

Boat Location

ABM

Shoreline

Other

Dock

Slip

Personal References

Please provide two personal references

Reference 1 Name(Required)

Reference 1 Address

Reference 1 Phone (Required)

Reference 1 Relationship(Required)

Friend

Club Member

Co-worker

Family Member

Other

Reference 2 Name(Required)

Reference 2 Address

Reference 2 Phone(Required)

Reference 2 Relationship(Required)

Friend

Club Member

Co-worker

Family Member

Other

Seal Beach Member Sponsors

A sponsor is a current club member who can vouch for you and sponsor you for membership. If you don't know current club members, please leave blank

Sponsor 1 Name

Sponsor 2 Name

Have you received a formal tour of the club by a membership committee member.?(Required)

Other Information

Areas of Interest(Required)

Cruising

Sailboat Racing

Race Committee

Special Events

Social Activities

Cruiser Navigation

Building, Bar or Food Committee

Other

Special Skills(Required)

Accounting

Legal

Construction

Technical (IT, AV, Web)

Electrical

Project Management

Catering

None

Other

Tell us about yourself...

How did you hear about us?(Required)

Friend/Existing member

Social Media

Website

Open House

Walking By

Public Booth

Other

Signature(Required)

Sign in the box or use the keyboard to type.

Signature field is empty.

Seal Beach Yacht Club (562) 594-6337

255 N. Marina Dr, Long Beach, CA 90803, USA

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