Membership Application

Cape Fear Sail & Power Squadron

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.

Full Name

First NameMiddle NameLast Name

Use this form to apply for a new membership to the
Cape Fear Sail & Power Squadron

If you have any questions contact our
Membership Chairperson via
membership@capefearsailandpowersquadron.org

When finished please click the Submit button at the bottom

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Zip +4

if you know please enter

Home Phone

Area CodePhone Number

Cell phone

Area CodePhone Number

E-mail

Birthday

MonthDayYear

Gender

MaleFemale

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

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

First NameMiddle NameLast Name

Their Birthday

MonthDayYear

Their email address

Their home phone number

Area CodePhone Number

Their Cell phone number

Area CodePhone Number

Check the appropriate membership box

Individual Membership $120.00 (Dues, Admin Processing Fee, 1 name tag)Family Membership $170.00 (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 $100.00

A Family Membership Annual Renewal is $150.00

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
Finances/Budget
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?

YesNo

Do you own a boat?

powersailpaddlenone

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

In feet, round to nearest foot - 21.5 = 22

Length of boat?

< 20 ft21 - 29 ft30 - 40 ft> 40 ft

Name of your boat

Name of your marina

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 belowMembership now, pay by Credit card or PayPal, see section below

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 Dawn Buboltz Hottes

CSPS Treasurer

4140 Passerine Avenue

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 only by credit card or PayPal *** Select only one choice ***

New Member - Individual Membership$120.00

New Member - Family Membership$170.00

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