
Name:
Two individuals may be listed per membership.
Street:
City: State: Zip:
Telephone: email:
Email ÿ Telephone ÿ Mailing Address ÿ
I own a Grand Banks I do not own a Grand Banks ÿ
Note: non-owners may be Associate Members
with no voting rights.
Boat Name: Hailing port:
Boat Model: Length: Hull
#:
(e.g.
Classic, Europa, Eastbay, Aleutian, etc.)
Signature:
The
first year's dues are $50.00 and must be submitted with this application form
for membership to be granted.
Please print and complete this form.
Mail, along with a check for $50 payable to NEGBOA,
to:
David Pearson
204 Walmsley Lane
Saunderstown, RI
02874