burgeePIERPONT BAY YACHT CLUBburgee

 

 

 

 

 

 

JOIN US

Annual dues..........payable in two installments.........$600

Introductory Dues..................6 months........................$300

Please print this page and bring or mail your completed application to PBYC:

1363 Spinnaker Dr.
Ventura, CA 93001

For more information contact our Membership Chair,

Annette Groom at

 

Membership Application Form (brochure with application)

Date Submitted
Name 1
Birthdate: Month Day
Home Phone
Cell Phone
E-mail
Name 2
Birthdate: Month Day
Home Phone
Cell Phone
E-mail
Street Addresss
City
State
Zip Code
Boat Name
Marina & Slip #
Power or Sail
Length
Sponsor 1
Sponsor 2