YACHT CLUBS OF MARYLAND
enrollment form
Please print, complete, and submit the Enrollment Form, the Club Directory Form, and a copy of your By-laws to:
R/C Dan Miller, 1815 Park Avenue, Halethorpe, MD 21227
Name of Yacht Club: _____________________________________
Address of Club: _____________________________________
_____________________________________
NUMBER OF MEMBERS IN CLUB: _____________________________
Commodore: _____________________________________
Address: ___________________________________________________
___________________________________________________
Phone: __________________________(Home)
__________________________(Cell)
__________________________(Work)
Email: (1)__________________________________________________
(2)__________________________________________________
Vice Commodore: ____________________________________________
Address: ___________________________________________________
Phone: ___________________________(Home)
___________________________(Cell)
___________________________(Work)
Email: (1)___________________________________________________
(2)___________________________________________________
Rear Commodore: ____________________________________________
Address: ___________________________________________________
Phone: ___________________________(Home)
___________________________(Cell)
___________________________(Work)
Email: (1)___________________________________________________
(2)___________________________________________________
Fleet Captain: ____________________________________________
Address: ___________________________________________________
Phone: ___________________________(Home)
___________________________(Cell)
___________________________(Work)
Email: (1)___________________________________________________
(2)___________________________________________________
Recording Secretary: ____________________________________________
Address: ___________________________________________________
Phone: ___________________________(Home)
___________________________(Cell)
___________________________(Work)
Email: (1)___________________________________________________
(2)___________________________________________________
Treasurer: ____________________________________________
Address: ___________________________________________________
Phone: ___________________________(Home)
___________________________(Cell)
___________________________(Work)
Email: (1)___________________________________________________
(2)___________________________________________________
Princess: ____________________________________________
Address: ___________________________________________________
Phone: ___________________________(Home)
___________________________(Cell)
___________________________(Work)
Email: (1)___________________________________________________
(2)___________________________________________________
Representative: ____________________________________________
Address: ___________________________________________________
Phone: ___________________________(Home)
___________________________(Cell)
___________________________(Work)
Email: (1)___________________________________________________
(2)___________________________________________________
Alternate Representative: ____________________________________________
Address: ___________________________________________________
Phone: ___________________________(Home)
___________________________(Cell)
___________________________(Work)
Email: (1)___________________________________________________
(2)___________________________________________________
***************************************************************************************************
Time:____________________________________
Location:_________________________________
Contact/Phone:_____________________________
_____________________________
Commodore’s Ball Information
Date:_____________________________________
Time:____________________________________
Location:___________________________________
Contact/Phone:_______________________________
_______________________________
Other Event:____________________________________
Date:_____________________________________
Time:____________________________________
Location:___________________________________
Contact/Phone:_______________________________
_______________________________
Date:_____________________________________
Time:____________________________________
Location:___________________________________
Contact/Phone:_______________________________
_______________________________
*************************************************************************************************************************
We hereby agree to the dues of $50.00 to become an active member of the Yacht Clubs of Maryland (YCM) and will uphold the Constitution and By-Laws as approved by the General Membership.
Signed by: _______________________________ Position: __________________________ Date: ____________________
Print Name: ____________________________________
Accepted this ______day of ________, 200_. Signed by: ________________________________________________
Position: Rear Commodore, rearcommodore@yachtclubsofmaryland.org
THANK YOU FOR BECOMING A MEMBER OF YACHT CLUBS OF MARYLAND
Amount Paid $_______ Check # ______ Received by: _________________________________________________________
Treasurer
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