HAPS Membership Application Form

[Mikem]

HUNTER ASSOCIATION OF PUGET SOUND

MEMBERSHIP APPLICATION

Annual Dues $60.00 Initiation fee $20.00*​

*fee includes Burgee. Additional Burgee $25.​

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NAME________________________________________PHONE_______________
CELL________________
E-MAIL______________________________________________
SPOUSE/PARTNER______________________________PHONE_______________
CELL________________
E-MAIL_____________________________________________
MAILING ADDRESS___________________________________________________
___________________________________________________
BOAT NAME___________________________________________LENGTH_______
MAKE_______________________MODEL______________YEAR_________
BERTH LOCATION/MARINA______________________YACHT CLUB____________
CHILDRENS NAMES & AGES (optional)____________________________________
_____________________________________________________________
BOATING ACTIVITIES THAT I ENJOY______________________________________
Remit dues to: Bill Bramstedt, P.O. Box 499, Cosmopolis, WA 98537
wbramstedt@q.com