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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:

    Bud Rogers
    Treasurer, J/109 Class Association
    120 Sunset Beach Road
    Sag Harbor, NY 11963

 

Member Type: Owner      Co-Owner      Associate Member 
 
Name: Paul Vandenberg   Email: pvandenberg@aventurasailing.com
 
Address:
                 , CA 92626
 
Phone: 9493593304   Mobile: 9493593304   Work:
 
Boat Name:    Hull #: 999   Fleet #: 0 -
 
Boat Homeport:    State:    Country: USA
 
Boat Website or Social Media Link:
 
US Sailing #:    World Sailing #: