Atlanta Yacht Club

www.AtlantaYachtClub.org

Application Form to Convert Membership from Temporary 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 a Temporary member:


Email Address:
Spouse Email:

Signature of applicant

PLEASE INCLUDE A CHECK FOR THE INITIATION FEE of $600.00. 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 Temporary 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