Membership Inquiry

* First Name

* Last Name

Address

City

State

Zip Code

Phone Number

* Email Address:

How did you hear about the club?

Were you referred by anyone?

* Please list one personal reference

* Personal reference phone number

Are you a member of any other clubs?

If so, please list the clubs you have belonged to in the past and or/currently belong to

Have you ever sailed at DIYC before?

Do You Own A Boat?

Are you interested in a mooring?

Comments

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