Wickford Harbor Mudheads Sailing Association

 

Application for Membership

 

Type of Membership

 

$_____       Junior under 18  $15.00

$_____       Individual 18 & over  $25.00

$_____       Family  $30.00

$_____       Donation 

____________________________________________

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$_____       Total

 

Please make checks payable to:

Paul Sollitto  20 Main Street, Wickford, RI 02852

 

The information you provide will be printed in the Mudhead directory.

Please fill it out completely, print clearly and include your e-mail address.

Questions regarding membership can be directed to our email.

Mudheads@WickfordHarborMudheads.com 

Thank you.

 

Name:_________________________________Date:___/___/____

Address:____________________City:_________State:___Zip:____

Evening# (___)________Day# (___)__________Fax# __________

E-mail Address:__________________________________________

Boat Affiliation: (Name, Type, Number, Relationship to you) _______ ______________________________________________________

Ideas/Suggestions/News for the Website? ____________________

______________________________________________________

 

Yes! - I would like to volunteer for an event. Please sign me up!

Weekly Races                                   Race Committee

Barbecue/Food                               General Support

Regattas                                           Parties

Meetings                                          Website/News

Boat Repair                                      Other