New York Sailing School

Passport Sailing Club Enrollment Form

First Name
Last Name
Address
City, State, Zip Code
E-mail (required)
Day Phone
Evening Phone

Passport Sailing Club - Innitiation fee $100 Monthly membership fee $75

Please indicate supportive member and promotions in "Remarks / Additions:"

Credit Card	VISA MASTERCARD DISCOVER AMEX DINERS
Account No.
Expiration Date - MM/YY

Remarks / Additions:
Dear NYSS

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