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2023 Membership Form

J/109 Class Association



2023 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: Adrian Begley   Email: adrian.begley@adrianbegley.com
 
Address: 267 East Highland Ave
                 Atlantic Highlands, NJ 07716 USA
 
Phone: 732.708.1883   Mobile: 732-766-1116   Work:
 
Boat Name: Mad Dogs   Hull #: 260   Fleet #: 10 - Long Island Sound
 
Boat Homeport: Atlantic Highlands   State: NJ   Country: USA
 
Boat Website or Social Media Link:
 
US Sailing #: 308915Y   World Sailing #: USAAB55