Sailing Chavurah

 

Membership

Andi Landis

11Garden Road

Summit, NJ 07901

Email: alandis@comcast.net

 

Website:  Sailing Chavurah http://www.sailingchavurah.com

 

 

CAPTAIN__________________________________________________

 

FIRST MATE_______________________________________________

 

ADDRESS_________________________________________________

 

CITY_________________________STATE_____ZIP_______________

 

PHONE (home)_______________________(cell 1)__________________

 

                                                                        (cell 2)_________________

 

E-MAIL 1 ________________________FAX______________________

 

E-MAIL 2 ________________________

 

NAME OF BOAT____________________________________________

 

SIZE____________MAKER___________________________________

 

BEAM__________________DRAFT_____________________________

 

ELECTRIC REQUIREMENT____________________________________

 

HOME PORT_______________________________________________

 

Dues are $18 per year –First time members will pay the dues plus the price of a burgee($25). Please print application and make checks out to Sailing Chavurah and mail to Andi Landis at the address above.