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 Membership Application
(select File-Print from your browser to print this form) Make check payable to ACBS and mail check and application to: ACBS International Headquarters, ATTN: Membership, 422 James Street, Clayton, NY 13624 |
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NAME __________________________________________ E-Mail Address _________________________________ |
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SPOUSE ________________________________________ |
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Address _________________________________________ |
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City ______________________________ |
State/Province ______________________ |
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Zip _____________ Phone: Eve ___________________ Day ___________________ |
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Type of Memberships
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Dues |
Enter Amount*:
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| Individuals under age 21 |
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| Annual Junior (JM) |
$15.00 |
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| Junior Life (JL) |
$650.00 |
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| Individuals & Their Co-Member (Spouse or Partner) |
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| Annual (AN) |
$45.00 |
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| Life Membership (LM) |
$1000.00 |
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| Organizations Listed by Business Name |
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| Annual Associate (AM) |
$200.00 |
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| Associate Life (LA) |
2000.00 |
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| Local Chapter Preference:_______________________________________ (Please consult the Chapter Map for information.) |
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| Total Dues: * All amounts in US funds unless otherwise noted. |
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| Boat Information |
Boat #1
Year ______________ Builder _________________ Model ________________Length Overall ________________
Hull # _______________HP ______ Engine Make __________________ # Cyl _______________
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Boat #2
Year ______________ Builder _________________ Model ________________Length Overall ________________
Hull # _______________HP ______ Engine Make __________________ # Cyl _______________
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