Club Membership Registration Form

Membership Application

The Propeller Club at the Port of Anchorage, Alaska
Name*

First NameLast Name
Phone Number*
E-mail*
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Company
Plank Owner - $500 (Special recognition for being first year individual contributors, your name will be on a cool plaque. This special membership level will only be available for the 2018/2019 membership year)Individual - $100Student - $75Corporate - See next question
Tier 1 - $3,000 (Will be recognized at ALL events and programs throughout the year.· Receives four (4) complimentary individual memberships. Contributes $500 towards the Propeller Club Scholarship Fund. Receives two (2) complimentary tickets to TWO scheduled events of your choice. Will be listed in club communications and featured via the club’s social media. Receives a company profile and website link to your company’s website.)Tier 2 - $2,000 (Will be recognized at six (6) events throughout the year. Receives three (3) complimentary individual memberships. Receives two (2) complimentary tickets to ONE event of your choice. Will be listed in club communications and featured via the club’s social media. Receives a company profile and website link to your company’s website.)Tier 3 - $1,000 (Will be recognized at three (3) events throughout the year. Receives two (2) complimentary individual memberships. Will be listed in club communications and featured via the club’s social media. Receives a company profile and website link to your company’s website.)Tier 4- $500 (Will be recognized at one (1) event throughout the year. Receives one (1) complimentary membership. Will be listed in club communications and featured via the club’s social media. Receives a company profile and website link to your company’s website.)
If Corporate, names of complimentary individual memberships
If Corporate, names and emails for complimentary individual memberships
FacebookOur WebsiteClub MemberOther
Name of Member who referred you to this club?*
House (Events)Ways and Means (Budget)MembershipWebpageSocial MediaOther
Suggestions for meeting locations and times.
Suggestions for meeting speakers or maritime topics that you would like to hear about.
CashCheckCredit Card

If paying via credit card, please input your information here.

Tier 1 Corporate$3,000.00

Tier 2 Corporate$2,000.00

Tier 3 Corporate$1,000.00

Tier 4 Corporate$500.00

Plank Owner$500.00

Individual Membership$100.00

Student Membership$75.00

Credit Card

After submitting this application, you will be added to our Club newsletter.

Please feel free to contact us at ANCHORAGEPROPCLUB@gmail.com!

Thank you!
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Membership Application

Credit Card