APPLICATION FOR MEMBERSHIP

IT IS NOT CLUB POLICY TO RECRUIT MEMBERSHIPS.
APPLICATION IS BY CANDIDATE INITIATIVE ONLY.

PERCHE CREEK YACHT CLUB
6751 WEST OLD HIGHWAY 40
MIDWAY LITTLE GENERAL STORE
COLUMBIA, MO 65202
573-445-7768
www.percheyc.com

Membership is the Perche Creek Yacht Club is limited not by numbers, but by quality and high character of each member. Your name has been suggested as one who meets the high level established by the founders of the Club. If you answered "YES" to both qualifying questions, please complete the following form if you would like to be considered by the full membership* for induction into the Club.

NAME______________________________________NICKNAME_____________________
ADDRESS____________________________________________________ZIP________
PHONES: HOME__________________________ WORK_______________________
E-MAIL ADDRESS ________________________________________________
TODAY'S DATE: _______________ SPONSORED BY ___________________________
T-SHIRT SIZE: (circle one)  S  M  L  XL  XXL  TENT
DATE REQUESTED ON CERTIFICATE (within month of application)______________

DUES: $20.00 (U.S.), payable upon acceptance into membership. Dues are to be included with the application, but will be returned in full if application is rejected by a vote of the members. This has never happened.

OFFICIAL USE ONLY:       This membership is

_______APPROVED _______REJECTED

* A QUORUM CONSISTS OF MEMBERS PRESENT AT THE MEETING AT WHICH MATTERS ARE CONSIDERED.