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Membership Application

 




 

Membership Application

To start the application process, please complete and send in the following membership application with two completed confidential sponsor forms.

 MEMBERSHIP APPLICATION
  SPONSOR FORM
Additionally, for your information, the following is the membership initiation dues and fee schedule: 2013 Fee Schedule


 


2702 Qualtrough Street, San Diego, CA 92106
Phone (619) 222-0438 Fax (619) 222-8214
 

Membership Application Form
Date of Application:

Applicant Information


I hereby apply for membership at the Southwestern Yacht Club. If approved for membership, I promise to abide by the Constitution, By-Laws, Rules and Regulations of the Club now in force, or which may hereafter be adapted.
Membership:
Applicant's Name:
Date of Birth:
Spouse's Name:
Date of Birth:
Child's Name & Age:
Child's Name & Age:
Child's Name & Age:
Child's Name & Age:
Residence Address:
Home Telephone:
Cell Phone:
* Email Address:
Years at present address:
Previous Address (if less than 2 years):

Sponsored by Members
Member Name:
Flag #:
Member Name:
Flag #:

Boat Information
Boat Name:
Manufacturer:
Class/Type:
LOA:
Beam:
Present Location:
Are you the sole owner of this vessel?
If no, please explain:

Boat Documentation & Insurance


Understand that Club rules require Board approval for residence aboard a boat at the Club and that there is a Waiting List. Only those members who have been in good standing for 3 years or more may apply for liveaboard status.
Proof of Boat Documentation & Insurance
Do you presently live aboard your vessel?
Will you be requesting live aboard status?
Applicant's Name:
Initiation Fee: $
Spouse's Name:
Down Payment: $
Balance Due: $

Car Information

Please list any cars you wish to have a SWYC Decal for
1. Make:
Model:
Year:
Color:
License Plate:
2. Make
Model:
Year:
Color:
License Plate:

Employer Information
Employer's Name:
Employer’s Address:
Business Phone:

Personal Reference/Emergency Information
Reference Name:
Relationship:
Reference Address:
Phone:

Credit Information
Have you ever been convicted of a felony?
If yes, please explain the circumstances, charges, court where convicted, and year:
Applicant's Signature:
Date:

For Membership Committee / Office Use Only


(Please do not write in this space)
Approved for Membership:
Membership Chairman:
Board of Directors:
* Denotes Required Field

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© 2010 Southwestern Yacht Club     tel: 619.222.0438     2702 Qualtrough Street San Diego, CA 92106     info@southwesternyc.org