INFORMATION UPDATE SHEET

AND

2009 DUES STATEMENT

 

OWNER: ____________________________________    _________________________

                                Name                                                                                          e-mail address

              

                 _____________________________________________    ________________

                        Street Address                                                                                                     Home Phone

 

                 _____________________________,   _____    __________    _____________

                                  City                                                                  State             Zip Code                  Work Phone

                                             MEMBERSHIPS

                     Y   N                    Y   N              Y   N      Y   N                            _______________

                      Ensign Fleet 35        Ensign Class Association      MYC         US Sailing                               Cell Phone

 

                 ___________________________________________    __________________

                                     Boat Name                                                                                                Sail Number

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SKIPPER: ____________________________________    ________________________

                                Name                                                                                          e-mail address

              

                 _____________________________________________    ________________

                        Street Address                                                                                                     Home Phone

 

                 _____________________________,   _____    __________    _____________

                                  City                                                                                    State               Zip Code                      Work Phone

                                             MEMBERSHIPS

                     Y   N                    Y   N              Y   N      Y   N                             _______________

                      Ensign Fleet 35        Ensign Class Association      MYC         US Sailing                               Cell Phone

 

 

Ensign Fleet No. 35 Member and Race Dues for 2009........................$150.00

 

Ensign Fleet No. 35 Member Only Dues for 2009................................$50.00

 

Late Fee (if paid after June 1, 2009)…………………………...……...$25.00

 

Please make Checks payable to: Ensign Fleet No. 35

 

Deliver to:

 

Neil J. Lynch

370 North Road

Negaunee, MI  49866

 

Official Use Only

 

CHECK No.____________                       AMOUNT $____________________

DATE___________________                    RECEIVED BY: ________________

 

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CREW: ____________________________________    _________________________

                                Name                                                                                          e-mail address

              

                 _____________________________________________    ________________

                        Street Address                                                                                                     Home Phone

 

                 _____________________________,   _____    __________    _____________

                                  City                                                                                    State               Zip Code                      Work Phone

                                             MEMBERSHIPS

                     Y   N                    Y   N              Y   N      Y   N                             _______________

                      Ensign Fleet 35        Ensign Class Association      MYC         US Sailing                               Cell Phone

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

 

CREW: ____________________________________    _________________________

                                Name                                                                                          e-mail address

              

                 _____________________________________________    ________________

                        Street Address                                                                                                     Home Phone

 

                 _____________________________,   _____    __________    _____________

                                  City                                                                                    State               Zip Code                      Work Phone

                                             MEMBERSHIPS

                     Y   N                    Y   N              Y   N      Y   N                             _______________

                      Ensign Fleet 35        Ensign Class Association      MYC         US Sailing                               Cell Phone

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

 

CREW: ____________________________________    _________________________

                                Name                                                                                          e-mail address

              

                 _____________________________________________    ________________

                        Street Address                                                                                                     Home Phone

 

                 _____________________________,   _____    __________    _____________

                                  City                                                                                    State               Zip Code                      Work Phone

                                             MEMBERSHIPS

                     Y   N                    Y   N              Y   N      Y   N                             _______________

                      Ensign Fleet 35        Ensign Class Association      MYC         US Sailing                               Cell Phone

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

 

CREW: ____________________________________    _________________________

                                Name                                                                                          e-mail address

              

                 _____________________________________________    ________________

                        Street Address                                                                                                     Home Phone

 

                 _____________________________,   _____    __________    _____________

                                  City                                                                                    State               Zip Code                      Work Phone

                                             MEMBERSHIPS

                     Y   N                    Y   N              Y   N      Y   N                             _______________

                      Ensign Fleet 35        Ensign Class Association      MYC         US Sailing                               Cell Phone

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

CREW: ____________________________________    _________________________

                                Name                                                                                          e-mail address

              

                 _____________________________________________    ________________

                        Street Address                                                                                                     Home Phone

 

                 _____________________________,   _____    __________    _____________

                                  City                                                                                    State               Zip Code                      Work Phone

                                             MEMBERSHIPS

                     Y   N                    Y   N              Y   N      Y   N                             _______________

                      Ensign Fleet 35        Ensign Class Association      MYC         US Sailing                               Cell Phone

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

 

CREW: ____________________________________    _________________________

                                Name                                                                                          e-mail address

              

                 _____________________________________________    ________________

                        Street Address                                                                                                     Home Phone

 

                 _____________________________,   _____    __________    _____________

                                  City                                                                                    State               Zip Code                      Work Phone

                                             MEMBERSHIPS

                     Y   N                    Y   N              Y   N      Y   N                             _______________

                      Ensign Fleet 35        Ensign Class Association      MYC         US Sailing                               Cell Phone

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

 

CREW: ____________________________________    _________________________

                                Name                                                                                          e-mail address

              

                 _____________________________________________    ________________

                        Street Address                                                                                                     Home Phone

 

                 _____________________________,   _____    __________    _____________

                                  City                                                                                    State               Zip Code                      Work Phone

                                             MEMBERSHIPS

                     Y   N                    Y   N              Y   N      Y   N                             _______________

                      Ensign Fleet 35        Ensign Class Association      MYC         US Sailing                               Cell Phone

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

 

CREW: ____________________________________    _________________________

                                Name                                                                                          e-mail address

              

                 _____________________________________________    ________________

                        Street Address                                                                                                     Home Phone

 

                 _____________________________,   _____    __________    _____________

                                  City                                                                                    State               Zip Code                      Work Phone

                                             MEMBERSHIPS

                     Y   N                    Y   N              Y   N      Y   N                             _______________

                      Ensign Fleet 35        Ensign Class Association      MYC         US Sailing                               Cell Phone

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