VENTURE SAILING CLUB OF SOUTH FLORIDA
Application For Membership

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Captain's Name: _____________________________________
Co. Captain's Name:__________________________________
Home Address: _____________________________________
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City: _______________ State: ___________ Zip: ___________
Evening Telephone Number: (_______)___________________
E-Mail Address: _____________________________________

Boat Name: ________________________________________
Boat Type: _________________________________________
Location of Boat: ____________________________________

How did you hear about us? (Check ONE)
Newspaper
Marina
Flyer
Sailor that referred you: _____________________________
Other: __________________________________________
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List the type(s) of sailing you do most, and where.
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Signature: _______________________
Date: ___________________________

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Print this page, and fill out the form. Then send this form with a $100 check payable to Venture Sailing Club to the address below.

Venture Sailing Club of South Florida
c/o Gary Haber
2462 S.W. 22nd Terrace
Miami, FL 33145