APPLICATION FOR MEMBERSHIP

DATE: ___________________

CAPTAIN NAME: ________________________________________________

FIRST MATE NAME: ______________________________________________

ADDRESS: ______________________________________________________

CITY: _________________________________________ STATE: __________

PHONE: _____________________ EMAIL: ____________________________

BOAT NAME: ______________________________ MAKE: ______________

BOAT LENGTH: ______ SAIL NUMBER: _________ HULL COLOR: _________

RADIO CALL SIGN: _____________ HAM RADIO CALL SIGN: ____________

MARINA/DOCK: _________________________________________________

MARINA LOCATION: _____________________________________________

OTHER CREW: ___________________________________________________

Annual dues are $35.00. Please make checks payable to Baltimore Cruising Club and submit with your application to:

                Karen Howell

                3132 Old National Pike

                Fredrick, MD 21769

For additional information, call:

                Frank Piscotti, Commodore, at 410-551-7772

                Karen Howell, Sec./Treas, at 301-371-8387