2020 CYC Membership Form and Waiver

Commodores Club

The Marina at Manhattan Harbour
Primary Member Name*

First NameLast Name
Primary Member Spouse/Partner/Significant Other (if does not apply leave blank)

First NameLast Name
Would you like the above person to be a Secondary Member with Voting Rights? $20 additional dues

YesNo
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of Membership Unit*
Example: The Smith Family
Phone Number*

Area CodePhone Number
Email*
example@example.com
Secondary Email
example@example.com
Year, Make & Model of Boat at Marina of Manhattan Harbour *
Name of Boat
Dock & Slip Number at The Marina of Manhattan Harbour*
Date

MonthDayYear
Date

Please indicate whether you, as a Primary Member or any Secondary Member or Additional member would be interested in any of the following volunteer opportunities

Serving as a Dock CaptianServing on the Membership Recruitment CommitteeAssisting with the Pirates BallAssisting with the Dinghy Poker RunAssisting with the Flamingo Races
My Products
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Membership Fees$25.00

Quantity

Secondary Membership Fee$20.00

Total $0.00
Payment Methods

Choose from one of the PayPal options to make your payment.
Payment Methods

Choose from one of the PayPal options to make your payment.
Should be Empty:

Commodores Club