RHODE RIVER BOAT CLUB

APPLICATION FOR MEMBERSHIP

Mail form and checks to:

Paul Taylor, RRBC Secretary

13706 Batchelors Drive

Silver Spring MD 20904

To the Membership Committee:

I wish to be considered for membership in the Rhode River Boat Club.

Name: Nickname (If any)

Home Address: First Mate:

City, State, Zip Home Phone:

Place of Birth: Date of Birth:

Email Address: Home web page: http://www.

Occupation:

Business Address:

City, State, Zip Work Phone:

Type of Craft: Home Port:

Name of Craft: Type of Rig

Type of Power LOA Radio Call Letters:

Race Class Sail Number: Rating:

Of what clubs are you currently a member in good standing?

If you are currently a member of another accredited yacht club, state your reasons for applying for membership in RRBC.

Name of the RRBC member with whom you are acquainted:

The below named sponsor has signified his willingness to sponsor me.

Name of Applicant (Print) Signed, Date

Name of Sponsor (Print) Signed, Date

For official use only

Date Elected: Chairperson membership Committee: Number: