MTLSA 2008
New Member Application
Print this form or go to a fillable form that you can fill out on your computer and print.
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Name |
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Address |
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City, State, Zip |
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Phone Home |
Work |
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Email1 |
Email2 |
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Please give us birthday information on your household
members. Provide name, month and day.
The year is optional. |
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Boat Information |
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Please include Boat
Name, Make & Model, Length, Year |
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If you are a Boat
Current members of the MTLSA who
are applying for a new membership or renewing an old one with Boat
Membership Options:
1. Household Member ($35) -- Must own a sailboat. Two adults living in the same household will have full membership rights.
2. Regular Member ($25) -- Must own a sailboat and will have full membership rights.
3. Associate Member ($20) -- Does not own a sailboat, has access to association activities, but does not have voting rights.
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Annual dues: Household - $35 Regular - $25 Associate
- $20 |
$_______________ |
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Annual Race Fee - $15 (Optional) |
$_______________ |
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TOTAL |
$_______________ |
DISCLAIMER: By signing this application, the
undersigned agrees to save and hold harmless the MTLSA, its Officers and its
membership from any and all claims resulting from participation of the
undersigned in the activities of the MTLSA.
SIGNATURE(s): (Both persons must sign for a household
membership)
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SEND COMPLETED
APPLICATION WITH CHECK PAYABLE TO MTLSA TO:
Mark Twain
C/O Suzanne
Stillwell, Treasurer
573-696-0223 sstillwe@hallsville.org