PHRF San Diego Membership Application    (01/03
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Member/Skipper Information:    Please print clearly                                                             Date:__________________
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NAME_______________________________________ 
ADDRESS____________________________________                           Unit/Apt.#______________
CITY________________________________________  STATE_____   ZIP____________________
DAY PHONE________________________     NIGHT PHONE______________________________
E-mail Address  ___________________________________________________________________
Club Affiliations:_________________          U.S. Sailing Assn. ID#__________________________             
Associate Membership Dues $35: ________        Fleet Membership Dues $35 _______   

Please fill in all data in the Yacht Information section below.

Yacht Information:
BOAT NAME_________________________________     Sail #_ _______________
Manufacturer Type____________________________     Builder________________________
     LOA_________Ft.         Spinnaker Gear:  Yes___        No____
   PHRF Rating
(if known)   BUOY Rating _____  RLC Rating______   
Have you joined SoCal PHRF or renewed your SoCal. Rating Certificate for the current year?     Yes   No


CF/DOC NUMBER_________________     MARINA_____________________________________   SLIP NUMBER___________

I am applying for (or renewing my) PHRF San Diego Fleet membership..  I agree to abide by the provisions of the Fleet Constitution, By-laws, and Competition Protocols.  I understand that I must be also be a  member of So. California PHRF to race in areas outside of San Diego.

I have enclosed my check for $35 for Fleet Membership.



SIGNATURE_____________________________________________ DATE___________________

                   Return:  (a) this Membership Application page  and  (b) the Yacht Information Form to:   

                                              PHRF San Diego
                                              P.O. Box 6748
                                              San Diego, Ca. 92166
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Official Use Only:
         
Date Received: ____________         Payment, Check #_____________ $_______

Racing Class Assignment:     1 ___     2 ___    3 ___     4 ___     5___