If you would like to join the North West Sailing Association, please fill out the attached membership form by printing the downloadable file. After filling out the registration form, mail the registration form and check made payable to NWSA to
NWSA
PO BOX 921
Arlington Heights, IL 60006
Download NWSA Membership Application 2010
NWSA Membership Application - 2010
Name: _______________________________________ Date: __/__/2010
Name for Badge: (if different) _______________________________________
Partner’s Name: ________________________________________________
Name for Badge: (if different)________________________________________
Mailing Address: _______________________________________________
City/State/Zip: _________________________________________________
Primary Phone: _______________________________(home) (cell) (work)(please circle one)
Alternate Phone: ______________________________ (home) (cell) (work)
Email: ______________________________________________________
Alternate Email: ______________________________________________
I prefer to receive my newsletter by email: YES _____ NO _____
Type of Membership: (Check one)
_______ Single (1 Adult) - $35 OR _______ Family (2 Adults) - $40
_____ Cash or _____ Check/Check No. __________ Amount $ ______
Referred by _____________________________ (New Members Only)
Crew / Skipper Information / Availability
NWSA Events only _______ Weekends _______ Weekdays _______
Weeknights ______ Any Time _______
My sailing experience is: _______ (pick a number 1 through 10 - see below).
0 1 2 3 4 5 6 7 8 9 10 None............................some..........................considerable........................lots
BOAT OWNERS
Boat Name: ____________________________________ Length: ___________
Make: ____________________________ Moored? _______ Trailered? ______
If moored, which harbor? __________________________ Slip No. __________
