Atlanta Yacht Club

www.AtlantaYachtClub.org

Application Form to Convert Membership from Associate to Regular

Return to AYC Secretary when all three sections are completed and signed

Section 1 - To Be Completed By Member :

Date :
Last Name :
First Name :
Middle Initial :
Nickname :

Street Address :
Apartment Number :
City :
State :
Zip Code : (9 digits, if known)
Home phone :
Office phone :

Present Fleet Memberships :

Please summarize sailing activities while an Associate member :


Email Address :
Spouse Email :

Signature of applicant :

PLEASE INCLUDE A CHECK FOR THE DIFFERENCE BETWEEN THE INITIATION FEE WHICH YOU PAID WHEN ACCEPTED AS AN ASSOCIATE MEMBER AND THE CURRENT REGULAR MEMBERSHIP INITIATION FEE. After approval you will be billed $100.00 for a share of stock and the next quarter's dues at the Regular Member rate.

Current Regular initiation fee: $600.00.
Amount Enclosed :

Section 2 - To Be Completed By Sponsors :

By signing, both the Sponsor and the Co-Sponsor affirm that applicant has fulfilled the objectives of the Associate Membership program and that they recommend the member for Regular (full) membership.

Date:
Print sponsor's name:
Signature of sponsor:

Date:
Print co-sponsor's name:
Signature of co-sponsor:

Section 3 - To Be Completed By Membership Committee :

Date received by
Membership Committee:

Approved:

Yes

Date:

Signed by Membership Committee Chair

Return to AYC Secretary when all three sections are completed and signed

REV. 2/1/1999