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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: jacktoliver@att.net
 
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 #: