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
        NAME __________________________________________   E-Mail        Address _________________________________
        SPOUSE ________________________________________
        Address _________________________________________
        City ______________________________         State/Province ______________________
        Zip _____________     Phone:      Eve        ___________________      Day  ___________________

Type of Memberships

Dues

Enter Amount*:

Individuals under age 21
Annual Junior (JM) $15.00
Junior Life (JL) $650.00
Individuals & Their Co-Member (Spouse or Partner)
Annual (AN) $45.00
Life Membership (LM) $1000.00
Organizations Listed by Business Name
Annual Associate (AM) $200.00
Associate Life (LA) 2000.00
Local Chapter Preference:_______________________________________               (Please consult the Chapter Map for information.)
Total Dues:  * All amounts in US funds unless otherwise noted.
Boat Information
Boat #1
Year ______________ Builder _________________                    Model ________________Length Overall ________________
Hull # _______________HP ______ Engine Make __________________ #                    Cyl _______________
Boat #2
Year ______________ Builder _________________                    Model ________________Length Overall ________________
Hull # _______________HP ______ Engine Make __________________ #                Cyl _______________