Order Number Title Choose One Mr. Ms. Mrs. Prof. Dr. Email Address * First Name * Last Name * Contact Number * Mailing Address (Street, City, State, Zip) * Business Name (if applicable) Membership Categories (Choose one) Member Category * $66 | Founding Member (1st 66 Members) $25 annually thereafter. (Includes 2 T-Shirts and Membership Card) $25 | Yacht Club Active Member (Includes 1 T-Shirt and Membership Card) $266 | Ports of Call Member -Merchant Member (Includes Advertising Option in Publications, at Events, etc) $500 | Life Member, no annual dues (Includes 4 T-Shirts & Life Member Card Please select your membership level. T-Shirt Sizes Based on your membership you have selected please give us the sizes need. (S,M,L,XL,XXL,XXXL) Message / Comments Total Due Total: Submit this application electronically or by mail. Submissions will not be confirmed until both your application and full payment are received.