APPLICATION FOR SOCIAL MEMBERSHIP

TO: MEMBER COMMITTEE

PLEASE CONSIDER ME FOR SOCIAL MEMBERSHIP IN THE FHYC

NAME:________________________ PHONE____________________

ADDRESS______________________ CITY__ ___________STATE______

OCCUPATION_____________________EMPLOYER__________________

EVER A MEMBER OF A YACHT CLUB?_____________

WHAT CLUB_____________________________

REASON FOR LEAVING________________________________________

In singing this application I acknowledge that I am familiar

with the rules and regulations governing Social Membership in

the Fox Hill Yacht Club

Signed ___________________________________Date:_____________

Recommended by Membership Committee

1.___________________ __ ___________________

2._____________________ __________________

3.______________________ __________________

Date Accepted Amt. Rec’d

.

_________ ___________

(PLEASE PRINT)