Membership Application

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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 _______________