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Setauket Yacht Club Inc. P.O. Box 138 Port Jefferson, NY 11777 Please check the category of Membership you are interested in: Launch m Non-launch mName_________________________________________ Spouse____________________________ Mailing address____________________________________________________________________ City_______________ State______ Zip________ E-Mail ___________________________________ Home Phone____________________________ Work Phone_______________________________ Occupation___________________Spouse_____________________Boat Make____________________ Power m Sailm L.O.A.___________ Sail No.____________ PHRF Rating (if known)____________ Rig_________________ Engine: Inboard m Outboard m I/O m Fuel______________ Boat Name___________________Children: names/ages____________________________________ Skills/Interests/Talents______________________________________________________________ Please Check one or more areas you would be willing to serve: Social m Education m Racing m Cruising m House/Grounds m Docks m Launch/Moorings m Signature_________________________________ Sponsor________________________________ |
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