PROSPECTIVE MEMBER INFORMATION SHEET

Name: __________________________________________________________

Address: ________________________________________________________

City, State, Zip: ___________________________________________________

Phone: ____________________ E-Mail: _______________________________

Do you own a boat?      (     ) Yes      (     ) No

JYC Activity Interests: (Check all that you would be interested in)

(     ) Dining Specials        (     ) Sailboat Cruising    (     ) Club Parties

(     ) Friday Steak Night   (     ) Power Boats            (     )  Rowing

(     ) Sunday Racing         (     ) Youth Parties            (     ) Youth Sailing

(     ) J/22 Events               (     ) Youth Swimming       (     ) Ladies Fleet

(     ) Catalina 22 Events   (     ) Sailboat Racing        (     ) Club Social Events

Did you hear about JYC from a member? If so, whom?

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Do you know any JYC members? If so, whom?

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