Catalinas of Santa Monica Bay

APPLICATION FOR MEMBERSHIP

Applicant & Spouse/Partner Name _________________________________________

Mailing Address _______________________________________________________

City/Zip _____________________________________________________________

Please list all phone numbers and email addresses that we should have and identify them:

Home _______________________________________________________________

Cell (App 1) ___________________________________________________________

Cell (App 2) ___________________________________________________________

Email (App 1) __________________________________________________________

Email (App 2) __________________________________________________________

Yacht Club affiliation, if any ________________________________________________

Sponsor/How did you find out about the Fleet __________________________________

Boat Information:

Boat Model _____________Boat Name_______________________________________

Home Port ___________________ Slip#___________ Marina ____________________

MMSI # _________________Hull # _________________ Sail #___________________

I hereby apply for membership in the Catalinas of Santa Monica Bay Fleet, Signature of Applicant:

_____________________________________________________ Date_______________

Please forward completed application and $25 check, payable to Treasurer Gisela Dawson and mail to her at 1045 East Road, La Habra Heights, CA 90631. Or, you can send Zelle funds to CatalinaFleet@gmail.com

www.catalinasmbay.org - Phone (310) 560-5838 - CatalinaFleet@gmail.com