PHRF San Diego Membership Application    (April  2004)
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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/Builder____________________________     Model________________________
     LOA_________Ft.         Spinnaker Gear:  Yes___        No____
   PHRF Rating
(if known)   BUOY Rating _____  RLC Rating ______   OWC Rating ______ 

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___________________

                   *** Submit the completed package to the PHRF San Diego Roster Secretary.  For the application to be heard at the next Board meeting, the Secretary must get it to the Chief Handicapper at least 5 days prior to the meeting.  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___