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2022 Membership Form

J/109 Class Association

2022 Membership Form

Checks in the amount of $50.00 should be payable to "J/109 Class Association"

Print this form, update as needed, and mail with a check to:

    Bill Kneller
    Treasurer, J/109 Class Association
    9 Cromwell Drive
    Portsmouth, RI 02871


Member Type: Owner      Co-Owner      Associate Member 
Name: Jack Toliver   Email:
Address: 837 Seminary Circle
                 Glen Ellyn, IL 60137 USA
Phone: 312 952 9696   Mobile: 3139529696   Work:
Boat Name: VANDA III   Hull #: 270   Fleet #: 11 - Great Lakes & Lake Champlain
Boat Homeport: Chicago   State: IL   Country: USA
Boat Website or Social Media Link:
US Sailing #: 376112Q   World Sailing #: