Membership Application & Renewal
Photo Caption
Use this space to briefly
describe your photo and the
context in which it was taken.
Use this space to briefly
describe your photo and the
context in which it was taken.
Photo Caption
Use this space to briefly
describe your photo and the
context in which it was taken.
Use this space to briefly
describe your photo and the
context in which it was taken.
Coasters Harbor Navy Yacht Club
Please complete this short form below. Renewals provide us the opportunity
to ensure all your information is up to date.
MAIL TO: CHNYC c/o Janet Belson, Treasurer, 5 Benedict Ave., Portsmouth,
RI 02871-2301
_____ New CHNYC Member
_____Renewal ________Membership Number
_____ CHNYC Individual ($25) ________ CHNYC Family ($35)
_____ Active Duty _____ Projected Rotation Date
_____ Family Member _____ Retired _____ Reserve _____ DOD
Name:
____________________________________________________________
E-mail:
____________________________________________________________
Street Address:
____________________________________________________________
City: ___________________________ State: ________ ZIP: __________
Winter Address - if different:
____________________________________________________________
Months to use Winter ddress______________________________________
Home Phone: _________________ Office Phone: ____________________
Duty Station/Work: ______________________________________________
Boat Name: __________________________________________________
Power: __________ Sail: _________
Type/Manufacturer: ______________________ LOA: _____________
Beam: ________
Marina Berth # ________________ Other: __________________________
Very important areas in which you’d like to help and get involved with: We
particularly need help with …
____ On-Water Sail Training
____ Ground School
____ Race Committee
We also need assistance with these programs: Please check the blank and
show your support …
____ Sail Qualification Upgrades (Rhodes/Shields)
____ Power Squadron
____ Facilities (including Weather Emergency Crew)
____ Special Events (Picnics, Social, etc)
____ PHRF racing or crewing
____Cruising
to ensure all your information is up to date.
MAIL TO: CHNYC c/o Janet Belson, Treasurer, 5 Benedict Ave., Portsmouth,
RI 02871-2301
_____ New CHNYC Member
_____Renewal ________Membership Number
_____ CHNYC Individual ($25) ________ CHNYC Family ($35)
_____ Active Duty _____ Projected Rotation Date
_____ Family Member _____ Retired _____ Reserve _____ DOD
Name:
____________________________________________________________
E-mail:
____________________________________________________________
Street Address:
____________________________________________________________
City: ___________________________ State: ________ ZIP: __________
Winter Address - if different:
____________________________________________________________
Months to use Winter ddress______________________________________
Home Phone: _________________ Office Phone: ____________________
Duty Station/Work: ______________________________________________
Boat Name: __________________________________________________
Power: __________ Sail: _________
Type/Manufacturer: ______________________ LOA: _____________
Beam: ________
Marina Berth # ________________ Other: __________________________
Very important areas in which you’d like to help and get involved with: We
particularly need help with …
____ On-Water Sail Training
____ Ground School
____ Race Committee
We also need assistance with these programs: Please check the blank and
show your support …
____ Sail Qualification Upgrades (Rhodes/Shields)
____ Power Squadron
____ Facilities (including Weather Emergency Crew)
____ Special Events (Picnics, Social, etc)
____ PHRF racing or crewing
____Cruising
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