Pine Island Boat Club Membership

Pine Island Boat Club New Member Application Form

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                       A Boat Club for fun, safety, friendship all with a community spirit.

A lifetime membership fee of $50.00  includes  a PIBC burgee, additional burgees are $25.00 each.

Date:________________________________________________________________________

Name:_______________________________________________________________________

Local Address:________________________________________________________________

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Local Phone:______________________________Cell:_______________________________

Email Address:________________________________________________________________

Please email us at PIBCcommodore@gmail.com so we have your correct email address.

Boat Make/Type/Size:_________________________________________________________

Boat Name:__________________________________________________________________

Specify: Full or Part Time Resident:____________________________________________

Where are you from?__________________________________________________________

Sponsors Name:________________________________________________________________

Comments:_____________________________________________________________________

 

Please email us at PIBCcommodore@gmail.com so we have your correct email address.

Visit our website at www.pibc.info for more information about the club and upcoming events. There is also an email button on the bottom right hand side of every page.