INFORMATION UPDATE SHEET
AND
2011 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
___________________________________________ __________________
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
Ensign Fleet No. 35 Member
and Race Dues for 2010........................$150.00
Ensign Fleet No. 35 Member
Only Dues for 2010................................$50.00
Late Fee (if paid after
June 1, 2010)…………………………...……...$25.00
Please make Checks payable to: Ensign Fleet No. 35
Deliver to:
David
Manson
122
West Hewitt Street
Marquette,
MI 49855
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
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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
------------------------------------------------------------------------------------------------------------
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
------------------------------------------------------------------------------------------------------------
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
------------------------------------------------------------------------------------------------------------
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
------------------------------------------------------------------------------------------------------------
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
------------------------------------------------------------------------------------------------------------
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
------------------------------------------------------------------------------------------------------------
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
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