Thank you for your interest in joining the SeaGate Yacht Club. Print out the form. Fill in the information and mail to the address below. Thank you.

Last Name: ____________________________ First Name: __________________________

E-Mail Address: _________________________________ Birthday: _______ /_________
                                                               MM   /   DD
 ____ Check here to recieve SGYC communications by e-mail.

Business Name: _______________________ Business Phone: _______________________



Last Name: ____________________________ First Name: __________________________

E-Mail Address: _________________________________ Birthday: _______ / _______
                                                              MM   /   DD
 ____ Check here to recieve SGYC communications by e-mail.

Business Name: _______________________ Business Phone: _______________________



Home Address: ________________________________________________________________

City: __________________________________________________ ZIP: ________________

Residence Phone: _____________________ Wedding Anniversary: _______ / ________
                                                               MM   /   DD
Boat Name ______________________ Make: ________________________ Length: ______

Power: _____ Sail: _____ Electric: _____ Boat CF Number: _____________________

Maximum Occupancy: _______________ Including Captain & Crew
NOTE: Boat ownership is not required for membership.

Special Interests: ___________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

New member dues are $150.00 ($120.00 for a single) which includes your SGYC Burgee and membership roster. Please remit your check made payable to SGYC with the application to the following:
SeaGate Yacht Club
Attn: Margaret Humphreys
3435 Windspun Drive
Huntington Beach, CA  92649
714-840-6920 - jgh10@aol.com

Referred for membership by:____________________________________________________
                                              Member's Name