New Member Registration Form

Clear Lake Shores Yacht Club

Membership Application
Full Name

First NameLast Name
Names of family members under this membership:
Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
Do you own a boat?
If Yes, tell us about her.
Are you willing to participate in at least one club gathering in the next year?

Each membership includes 2 Polar Camel tumblers.

Rows	Tumbler Style
Tumbler #1
Tumbler #2

Signature of Applicant:
Name of Member Sponsor:
Initial Membership Dues $250.00 - We'll contact you to make arrangements if paying with cash or check.
Please verify that you are human
Should be Empty: