The Crooked Lake Yacht Club P.O. Box 195 Oden, Michigan 49764

Organized in 1955 Member Yachting Club Of America

Membership Application - 2010

Date: ________________

Name1: ____________________________________________________________

Name2 (Spouse/Significant Other):______________________________________

Children: ___________________________________________________________

____________________________________________________________________

Summer Address: ___________________________________________________

City: __________________ State: _________ Zip: ___________

Summer Telephone: _______________________________________

Send USPS Mail to Summer Address: From __________ To __________

Winter Address: _________________________________________________

City: _________________ State: __________ Zip: ____________

Winter Telephone: _________________________________________

Email Address

E-Mail Name1: ____________________________________________

E-Mail Name2: ____________________________________________

Note: Most of our communications are by Email

Cell Phone:

Cell Phone Name1: ____________________________________________

Cell Phone Name2: ____________________________________________

I am interested in volunteering for a Dinner___ Youth Event____ Other______

Signed ________________________________________

Sponsored By: ___________________________________________________

(Will be signed by a member or Officer)

Please enclose with this application for membership your check for the appropriate amount ($100 first year dues for a family, $75 for a single; payable to “The Crooked lake Yacht Club” mailed to the above address.

On the back of this form please provide information on your interests, family or other information to introduce yourself to our membership.