MEMBERSHIP APPLICATION 2002/2003

Renewal______   New Member__________

 Name:________________________ 2nd Member _________________________

Address:________________________________________________________________

City:______________________    Prov:_____________     Postal Code:______________

Telephone:(_____)_ ___________________  E-Mail:   ____________________________________________________

CRYA #:_______ CRYA # for 2nd Member, same address ______________________

Club Name:  _________________________________ ________________     City___________________

Annual Dues:    $_______     $15.00    (2nd member-same address $7.50)   _______

CRYA Pins:      $________    $5.00 each , 5 for $20.00

Registration Fee: $________       $5.00 for each new or transferred yacht.

Total                  $__________     Make cheque or M/O payable to CRYA (US Funds Acceptable)

List New or Transferred Boats

Class             Designer           Hull #     Existing          Previous Owner  

                                                 Sail #            CRYA #

____________   ___________________   ______     ________        __________  

____________   ___________________   ______     ________        __________  

____________   ___________________   ______     ________        __________  

____________   ___________________   ______     ________        __________  

____________   ___________________   ______     ________        __________  

Signature :_______________________ Date:_______________ 

Please print, fill out and send this form with your cheque or money order, payable to CRYA, to:

Larry Miskie, CRYA Membership, 46 Henderson Drive. Aurora, ON. L4G 3L2 Canada

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