New Mexico Sailing Club 2008 Membership

Form A-2

New Mexico Sailing Club

Membership and Waiting List
Application 2008

(Please provide us this information for the Membership Book.
Please type or print in block letters.)

Owner’s first and last name

Spouse/co-owner/crew name

Children: 1. ______________________ 2. ______________________
3. _______________________ 4. ______________________
5. _______________________ 6. _____________________

Address: _________________________________________
street

_______________ ____ ______________
city state zip

Telephone: ________________ ________________ ________________
(505 / 575 / ) home work cell

_____________
fax other

E-mail/website:

Boat information:

Manufacturer: ______________ Model: ___________________

Color: _________ Length (ft./in.): ____

Popular name or class of boat: _________________________

Rig type:

Boat name: ___________________________

Sail number for racing:

State registration number: ________________

Hull identification number:

Boat insurance company/agent:

____ Please accept these funds for membership

(Fee: $45.00) Date:

____ Please accept these additional funds of $20.00 to place
my name on the Waiting List.
(The one-time Waiting List fee of $20.00 will be credited
toward your first year’s rent on a permanent slip or buoy.)

Mail to: Rich Strasia

546 Highway 165
Placitas, NM 87043
or
New Mexico Sailing Club
PO Box 1795
Bernalillo, NM 87004-1795

Questions

Rich Strasia, Membership

George Soto, Treasurer

Rich Koch, Commodore