CALCASIEU BOAT CLUB
Membership Application

Name________________________________________________________

Phone________________________BusinessPhone___________________

Address______________________________________________________

City______________________________________State______Zip______
 

EmailAddress:________________________________________________

Employment__________________________________________________

BoatDescription_______________________________________________

PrintSponsor'sName___________________________________________

Sponsor’sSignature_______________________________Date_________

Applicant’sSignature______________________________Date_________

Membership Approval

(2 signatures required)

Commodore___________________________________________________

ViceCommodore_______________________________________________

Treasurer_______________________________________Date__________