Fleet 31 Member Registration Form

2011 ENSIGN FLEET 31 Dues

Owner’s Name:

Boat Name: Sail #:

Address:

Email:

Phone Winter: Phone Summer:

Basic Membership Fee $30.00:

_________

Please print form, include check and send to:

Jason Dunn
320 Westland Ave.
Bexley, OH 43209

Checks should be made out to Fleet 31 Ensign

Checks and waivers should be submitted no later than June 1, 2011 (Earlier the better!!)

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2011 ENSIGN CLASS ASSOCIATION Dues

Owner’s Name:

Address:

City:_____________________________ State: ______ Zip: _______

Email:__________________________________________________

Phone Home:_________________ Phone Work:________________

Boat #: Boat Name:

Fleet Affiliation or sailing venue: Fleet 31

Regular Membership Fee $25:	_________
Associate Membership for family/crew at $15 each	_________
(Please include names, mailing and email addresses)
Tax deductible contribution to ECA	_________
Total Amount Enclosed:	_________

Please mail this form with your check payable to Ensign Class Association to:

Kay Snider, Treasurer
Ensign Class Association
PO Box 230
La Porte, TX 77572-0230

Questions: TreasurerECA@aol.com (281) 471-7508