HERITAGE BOAT CLUB APPLICATION FORM

Annual membership dues: regular $30.00; supporting $20.00; crew $15.00
Make check payable to "Heritage Boat Club" and mail to:
John Spoeri, 423 8th Street Wilmette, IL 60091

 

Personal Information

 
First Name:
Middle Name:
Last Name:   
Spouse Name:
Address:
City:
State:
Zip Code:
Home Phone:
Work Phone:
Fax Number
Cell Phone:
Pager:
Alternate Phone:
E-Mail Address:
Membership Status Desired:
 		Regular $30
Supporting $20
Crew $15
Indicate any HBC committees you can volunteer for: Festival
Communications
Heritage Hailer
Membership
Education
Social
Quartermaster
Archives
 

 
Boat Information Send a photo of your boat (close-ups are best) for posting on our web page
Boat Name
Year Built
Hull Material:
Sail or Power Boat:
Heritage Plaque No:
State DNR No/Document No:
Harbor:
Other Yacht Club Affiliations:
Boat Make/Type(class):
Boat Model
Boat Designer:
Boat Builder:
Length Overall(feet/inches):
Length Waterline(feet/inches):
Beam:
Hull Color:
Number of Masts:
PHRF Rating (for sailboats only)
Weight with motor:
Weight w/o motor:
Original Engine Make/Model:
Original Engine HP:
Present Engine Make/Model:
Present Engine HP:
Notes of Historical Interest: