Moss Landing Yacht Club
Office Phone: 831-763-9251
Membership Application Form
To Be Completed by Applicant [Please print legibly]
Then send to: Fax: 1-831-763-9251 or Email to: elkhorng@earthlink.net
or Mail: MLYC, P.O.89, Castroville, Calif. 95012
Name: ___________________________________________________________
Spouses Name:______________________________________________________
Address: ___________________________________________________________
___________________________________________________________
Home Phone: [______] ______________________ Cell Phone: _______________
Email Address: ______________________________________________________
Occupation:
Applicant: ___________________________________________________________
Spouse: ____________________________________________________________
Work Phone : [______] _________________
Spouse: [____] ____________________
Type of Membership:
Senior Family:____ [60 years and above]
Senior Individual: ____
Adult Family____ [59 years and under]
Adult Individual____
Intermediate_____ [under 34 years]
Junior____ [18 years - 27 years]
What are your goals for joining MLYC? ___________________________________
__________________________________________________________________
What Volunteer work would you be interested in offering? ____________________
__________________________________________________________________
Boat Name: ________________________________________________________
Type of Boat: _______________________________________________________
Manufacturer: _______________________________________________________
MC#: ______________________________________________________________
Length: ________________________________ Beam: ______________________
