Catalinas Of Santa Monica Bay
And Catalina 36 - Fleet #1

2005 Application For Membership

Applicant/Significant Other Name: __________________________________________

Mailing Address: _______________________________________________________

City/State/Zip: _________________________________________________________

Phone: (____) _____________ (Home)

Please list any other phone #'s we should have and identify them:

Phone: (____) _____________ ( _________ )

Phone: (____) _____________ ( _________ )

Phone: (____) _____________ ( _________ )

E-Mail: ______________________________

E-Mail (Significant Other): ________________

Yacht Club affiliation, if any: _______________________________

BOAT STATISTICS

Boat Name: _________ Hull #: ______ Sail #: ____________  Length: _______

Berth Loc.: __________ Slip #: ______ Marina: ___________

Spinnaker: __ oz/type; Jib: __ %; Prop: ___ (fold/feather/fixed); Rig: ___ (std/tall)

Origin of boat name (how she got her name for our Origin web page):

I hereby apply for membership in the Catalinas Of Santa Monica Bay and:

____ Have enclosed my check; ____ Have already paid my 2005 dues.

Date: _________ Signature of applicant: ____________________________________

Please forward completed application and make $15.00 check payable to:

Lionel Garbus, Treasurer, 13209 Fiji Way #D, Marina del Rey, CA 90292

Note: We often get applications from owners outside of So. California wanting to join. That is perfectly O.K., but be advised this is not a national organization. A subscription to The Mainsheet is not included with our membership.

Note: If you have a business that would be of interest to our membership, please include a paragraph (on the back) for inclusion in our next roster.

(Please print the Application above and send it to Lionel Garbus, with check payable to Lionel Garbus)

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Last updated: May 1, 2005