Club Membership

Club Membership
Please fill out the LMYA Club Membership Application below and click on the submit button to be taken to PayPal (where you can pay with credit card), or fill out the form and click the print icon to print the form so you can send it with a check to LMYA Secretary, P.O. Box 631, Germantown, WI 53022. Make check payable to Lake Michigan Yachting Association. Annual dues are $150.
Yacht Club Name
Phone Number

Area CodePhone Number
Website Address
Location Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Initiation Fee
Regular Meetings
Annual Member Dues
Officers Elected For The Coming Year
Commodore
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Vice Commodore
Name

First NameLast Name
Email
example@example.com
Rear Commodore
Name

First NameLast Name
Email
example@example.com
Treasurer
Name

First NameLast Name
Email
example@example.com
Secretary
Name

First NameLast Name
Email
example@example.com
Cruising Director - Power
Name

First NameLast Name
Email
example@example.com
Cruising Director - Sail
Name

First NameLast Name
Email
example@example.com
Club Manager
Name

First NameLast Name
Email
example@example.com
LMYA Delegate
Name

First NameLast Name
Email
example@example.com
Directors
Director #1
Director #2
Director #3
Director #4
Director #5
Director #6
Director #7
Director #8
My Products
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Club Membership$100.00

Total $0.00
Should be Empty:

Officers Elected For The Coming Year