J/109 Class Association USA
2008 Membership Form

Checks covering membership should be made out to "J/109 Class Association."

2008 Membership fee: $50.00

Print this form on your printer, complete, and mail with a check to:

Ric Campeau
Treasurer, J/109 Class Association
317 Sumter Avenue
Summerville, SC 29483

 

Member Type (check one): Owner      Co-Owner      Associate Member 

Name_____________________________________________________

Partner/Spouse______________________________________________ 

Boat Name_______________________________Hull#_____Fleet#_____

Boat Homeport & State_________________________________________

Address____________________________________________________

City__________________ State_____ Zip Code_______ Country________

Phone________________________ Fax__________________________

E-mail_____________________________________________________