Application for Membership – Northern Yacht Club

Name *

First

Last

Email *

(This will also be used as your login to the website)

Password *

Occupation *

Home Phone

Cell Phone

Address *

Address Line 1

Address Line 2

City

Province

Postal Code

Do you have a boat? *

Please enter the name of the member proposing you to join the club as well as 2 other member recommendations

Proposed Name *

Proposed Email *

Recommended 1 Name *

Recommended 1 Email *

Recommended 2 Name *

Recommended 2 Email *

Terms and Conditions *

Signature

Are You A Robot? *

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