Anchor Boat Club of Palm Coast

ABC Application
;
There is no application for the ABC Social Club. If you wish to join, use the Contact button on the Navigation Bar.

---------------------------------------------------------------------------------------------------------------------------

OLD ABC Application Form

                                                                                       ANCHOR BOAT CLUB
                                                                                            Post Office Box 351501
                                                                                             Palm Coast,  FL 32135

MEMBERSHIP APPLICATION                                                                                                 Date: 

NAME: Last        First:    First: 
Address:             Boat Name:
                                    Length:ft.       Beam  ft.
                              Radio:  Yes: No:  Electric req'd   :amps
 Telephone:                               Biirthday:(Month/Day only)
Cell Phone:       Mr.: Mrs.: Anniv.:
E-mail:           

DUES:  INITIATION FEE:(NEW MEMBERS ONLY): $25 per person.  New members to receive product package consisting of one large burgee or license plate per family: one hat per member.

ANNUAL DUES:  Family Membership (Captain, Mate and Dependent Children)    $80.00 per year
                                Individual (Single 21 years +) No Dependents                                $40.00 per year        

Have you previously been a member of a Boat Club?       Yes     No
If Yes, name and location of Club:

Were you involved in Committe work or did you serve on the Board of Directors? Yes: or No: 
If yes, outline your experience:
Have you successfully completed the Coast Guard Auxiliary or comparable safe boating class?  Yes: or No: 

ANCHOR BOAT CLUB COMMITTEES: (Indicate which committes you would consider serving on.)
Membership:   By-Laws :   Social:     Audit:     Publicity:   Nominating:  Telephone:
Other:

CLUB PRODUTS:  Burgee, Hats, Liense Plates, Jackets, Shirts

Please make checks payable to:  Anchor Boat Club, Inc.
Initiation (New Members Only) $       Applicant's Signature: ________________________________
Annual Dues:.............................   $        Sponsored By: ______________________________________
Burgee   or     License Plate                       Application Rec'd By: ______________________________________
Hat:        .                                                                           Date Received: ____________        Waiting List Number: _____
 TOTAL TO BE PAID:               $                                   NEW MEMBERS ONLY
                                                                                                  DO NOT SEND MONEY WITH THE APPLICATION
                                                                     PAYMENT DUE UPON ACCEPTANCE INTO THE ANCHOR BOAT CLUB