Medford Boat Club Membership Application
Medford Boat Club Membership Application Applications will be processed in the order in which they are received (postmarked). Only after current-season returning Member levels are established will new applicants be extended membership for the new season. Annual Member dues are set by the Executive Committee in late October. First-year Members must pay an initiation fee equal to the annual Member dues (less the $100 deposit) in addition to their first year Member dues. Applicants will be notified of the current year’s Member dues at the time of their membership approval/invitation. All applications will be posted for membership review prior to the issuance of a final approval. Note: an approved applicant may defer his/her family membership invitation until the next year immediately following acceptance. Should an applicant choose not to accept membership within the first two years, his/her application will be discarded and the deposit forfeited. A new application and deposit will be required for re-application. I wish to make application for membership to the Medford Boat Club. Enclosed find my $100, non-refundable, deposit and my completed application, which includes endorsements by two MBC Members in good standing. I understand that the Member name I choose to use will be used for ALL Club correspondence including billing, general mailings, and work hour accounting. By my signature, I acknowledge that I have read the MBC House Rules (available at www.medfordboatclub.org) and understand that I am responsible for insuring that my family members, and any guests I may bring to the Club, understand and follow these rules. _______________________________________________ Applicant Signature
_______________________________________________ TYPE OF BOAT (IF ANY)
APPLICANT NAME OCCUPATION ADDRESS EMAIL ADDRESS
DATE OF BIRTH EMPLOYER CITY/STATE/ZIP PHONE
SPOUSE NAME OCCUPATION ADDRESS EMAIL ADDRESS
DATE OF BIRTH EMPLOYER CITY/STATE/ZIP PHONE
CHILD’S NAME
DATE OF BIRTH
CHILD’S NAME
DATE OF BIRTH
Have you ever been a Member of the Medford Boat Club? ____________ Is a parent of the applicant currently a Member in good standing at the MBC? ____
CHILD’S NAME
DATE OF BIRTH
If yes, when? ________________________ Member Name _______________________
TO BE CONSIDERED COMPLETE, THIS APPLICATION MUST INCLUDE ENDORSEMENTS BY TWO CURRENT MBC MEMBERS IN GOOD STANDING. Applications submitted without signatures, or signed by members who have sponsored more than two applicants in one calendar year, will be returned. I wish to recommend the above-named applicant for membership at the Medford Boat Club.
NAME NAME
SIGNATURE SIGNATURE
DATE DATE
Please mail completed Membership Application and a non-refundable $100 deposit check, made payable to the Medford Boat Club, to MBC Membership, c/o Mark Crowley, 59 Boynton Road, Medford, MA 02155. For questions, please email [email protected].
Orientation/Interview Date ________________ Application Posted at Club ______________ Acceptance Date __________________ Rev. 1/2015
_______________________________________________ TYPE OF BOAT (IF ANY)
APPLICANT NAME OCCUPATION ADDRESS EMAIL ADDRESS
DATE OF BIRTH EMPLOYER CITY/STATE/ZIP PHONE
SPOUSE NAME OCCUPATION ADDRESS EMAIL ADDRESS
DATE OF BIRTH EMPLOYER CITY/STATE/ZIP PHONE
CHILD’S NAME
DATE OF BIRTH
CHILD’S NAME
DATE OF BIRTH
Have you ever been a Member of the Medford Boat Club? ____________ Is a parent of the applicant currently a Member in good standing at the MBC? ____
CHILD’S NAME
DATE OF BIRTH
If yes, when? ________________________ Member Name _______________________
TO BE CONSIDERED COMPLETE, THIS APPLICATION MUST INCLUDE ENDORSEMENTS BY TWO CURRENT MBC MEMBERS IN GOOD STANDING. Applications submitted without signatures, or signed by members who have sponsored more than two applicants in one calendar year, will be returned. I wish to recommend the above-named applicant for membership at the Medford Boat Club.
NAME NAME
SIGNATURE SIGNATURE
DATE DATE
Please mail completed Membership Application and a non-refundable $100 deposit check, made payable to the Medford Boat Club, to MBC Membership, c/o Mark Crowley, 59 Boynton Road, Medford, MA 02155. For questions, please email [email protected].
Orientation/Interview Date ________________ Application Posted at Club ______________ Acceptance Date __________________ Rev. 1/2015
