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Illiana Yacht Club 219-659-9602
Please print the application below and fill in the information.
Mail the completed application enclosing a check or money order to:
Attn: Membership - Illiana Yacht Club, Inc. PO Box 662, Whiting, IN
46394 or IYC c/o L Geise 9201
State Line Rd Dyer, IN 46311
You will receive an
email indicating that we have received your application within a week and
what your likely status will be. Once your membership is accepted,
you will receive additional documentation and a membership card in the
mail along with several other pieces of information. Questions?
Email us iyc@att.net!
MEMBERSHIP
Record Form
Referred by IYC member _____________________ or Website Application
Name:
______________________________________
Spouse’s Name: ____________________________
Applicant’s Birth
Date:_________________________
Spouse's Birth Date:_________________________
Address:
________________________________________________________________________________________
Phone-Home
(____) ____________________ Work (____)
____________________________
Email Address:
________________________________________________________________
Children under age
21 - Name, Month , Day & Year of Birth:
_______________________________________________________________________________________________
Employer
(Optional)_________________________________ Address
_______________________________________
Job Title or
Duties
________________________________________________________________________________
Special Skills /
Hobbies
/Interests_____________________________________________________________________
Type of Boat(s)
Owned & Size (if
any)_________________________________________________________________
In consideration
of my acceptance as a member(s) of the Illiana Yacht Club I/we agree to
abide the rules and by-laws of the club. I/we understand that
membership entails a commitment of service time and effort on my/our part
in the support of Club maintenance, facilities and functions, each member
contributes his/her fair share. I/we further agree that sixty (60)
days after my membership terminates, for any reason, the Board of
Governors is authorized to dispose of any of my/our property
remaining on the Club premises as they see fit and for the benefit of the
Club with no responsibility to account to me/us. I/we also agree to assume
all liability for any guests I/we may bring to the IYC grounds and to hold
harmless IYC, Inc. from any damages that may arise from said guests
activities and I/we assume all responsibility for any damage or harm said
guest(s) may incur while on the club premises. Upon acceptance as a
member you will be required to sign a liability waiver.
Date
___________________
Signed ____________________________________
Additional
Signature if required (Spouse - Parent/Guardian
Signed ____________________________________
NOTE: Parent/Guardian
signature required if applicant is under 18 year
Date received by
committee____________________
Membership
Chairman
_________________________
Date new member
furnished : Copy of By-Laws and Rules: ______________ Membership
Card(s)____________
2010 Rates – Family Membership $275.00,
Single Membership (1 person only) $225.00, Usage Charge (per boat or
camper) $50.00 yearly. Annual
Contingency Fee ($65.00 due in July – all members)
*1 time Initiation Fee same as
Membership Fee
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