Membership Application

Status

I am applying with my partner / spouse.

First Name

Last Name

Phone Number

Birth Date required

Partner First Name

Partner Last Name

Partner Email

Partner Phone Number

Partner Birth Date required

Home Address

Boat Name

Boat Picture

Manufacturer

Model

Year

Length (ft)

Beam (ft)

Draft (ft)

Weight (lbs)

Registration Number

Insurance Company

Insurance Policy Number

Insurance Expiry Date

References - Is there an existing member or membersyou would like to use as a reference?

Tell Us about your self and why you want to be a member of Dalhousie Yacht Club.

DALHOUSIE YACHT CLUB