Membership Application

New Members Only

Please do not use this form if you are a member and are renewing or changing your membership. This is to apply for a new membership only.

Use this form to apply for membership to the
Cape Fear Sail and Power Squadron

If you have any questions contact our
Membership Chairperson - Linda LeBer
via email membership@capefearsailandpowersquadron.org
or by phone 910 264-1861.

When finished please click the Submit button at the bottom

Full Name

First Name Middle Name Last Name

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Zip +4

if you know please enter

Home Phone

- Area Code Phone Number

Cell phone

- Area Code Phone Number

E-mail

Birthday

/ Month / Day Year

Gender

Male Female

Significant Other's Name (even if a individual membership)

If family membership enter spouse's or partner's name

First Name Middle Name Last Name

Their Birthday

/ Month / Day Year

Their email address

Their home phone number

- Area Code Phone Number

Their Cell phone number

- Area Code Phone Number

Check the appropriate membership box

Individual Membership $125 (Dues, Admin Processing Fee, 1 name tag) Family Membership $182.50 (Dues, Admin Processing Fee, 2 name tags)

Important Note:

First year dues include one-time charges for name tag(s) and Administration Processing that are not included in future renewals.

An Individual Membership Annual Renewal is $95.00

A Family Membership Annual Renewal is $142.50

Volunteer areas: Please indicated areas you and you spouse/partner may be interested in volunteering for to help the squadron succeed.

	Yourself	Spouse/Partner
Hospitality
Membership
Education
Communications
Photography
Newsletter
Public Relations
Other

If you selected "Other" please indicate what.

Personal skills. This is what your skills in education, work training or hobbies are.

Do you own a boat?

Yes No

Do you own a boat?

power sail paddle none

If yes, what is the Length and Make of your boat?

In feet, round to nearest foot - 21.5 = 22

Length of boat?

< 20 ft 21 - 29 ft 30 - 40 ft > 40 ft

Name of your boat

Squadron Name Tags:

Do you have a name preference? Do you prefer a nickname?

Please indicate below what you want to appear on your name tag(s) / how others should address you.

Primary member's tag

Spouse or partner's tag

How do you want to pay?

Membersip now, pay by Personal check, see section below Membership now, pay by Credit card or PayPal, see section below

After, go to bottom and click on the submit button. You are done.

Pay for Membership by check:

Please make check payable to CFS&PS ( Cape Fear Sail and Power Squadron). Write "New Member's Application & Payment" in the note area of your check.

Send check to:

Lt/C Steve Thompson, S
4100 Passerine Ave
Wilmington, NC 28412-5605

Please go to bottom and click on the submit button. You are done.

Pay for Membership by credit card or PayPal:

You will be redirected to a secure e-commerce site. We use PayPal but you do NOT need to be a Paypal member. Your will see a credit card payment option.

Pay for Membership Now by credit card or PayPal *** Select only one choice ***

New Member - Individual Membership $ 125.00

New Member - Family Membership $ 182.50