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2021 Membership Form

J/109 Class Association



2021 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:    Email:
 
Address:
                 ,
 
Phone:    Mobile:    Work:
 
Boat Name:    Hull #:    Fleet #: -
 
Boat Homeport:    State:    Country: USA
 
Boat Website or Social Media Link:
 
US Sailing #:    World Sailing #: