Wildwood Sailing Club      

 2005                                              

 Application and Renewal Form
                    

                    

   
              Name: ___________________________________ Phone Number: (       ) ____ - __________

              Address: ____________________________________

                            ____________________________________ Postal Code _________

              Crew: ___________________________________ # of Children ____

              Type of Boat: ________________ Sail Number ________

                  Type of Car ______________________ Licence #_____________

  
   INITIATION FEE: $150.00 (New Members only)
                                    $ 75.00 for 1st Year,  $75.00 for 2nd Year             $ ______

  MEMBERSHIP Fee: If paid by March 31       $150.                              $ ______
                                    
                                        If paid after March 31    $175                               $ ______

  U.T.R.C.A. Fee: Sailboat $75.00 or Sailboard  45.00                               $ ______

  Choose Not to Join Work Crew     OPTION - add $50.00                      $ _______

   We encourage "MAILING" your application and Cheque        Total     $ _______                                                                               

  Cheques made payable to : "Wildwood Sailing Club"
             and mail to:  Dianne Mulholland
                                  264 Douglas St.
                                  Stratford, Ontario
                                  N5A 5R2

I have read the rules and agree to abide by them, and will place both car and boat stickers as required. "I further understand that the club is not responsible for theft or damage to personal property or injury to persons."

_______________________________                                    _____________
Member Signature                                                                             Date

* NOTE: Dues must by paid by March 31st, or you risk losing your present wharf or mooring spot!