New Membership Form [ ]                 Annual Membership Renewal [ ]

FIRST NAME: __________________________  LAST NAME: _____________________________

ADDRESS: ______________________________________________________________________

ADDRESS: ______________________________________________________________________

CITY: ____________________________ PROV: __________ POSTAL CODE: ________________

WORK TEL: __________________________      HOME TEL: ______________________________

CELL: _______________________________     EMAIL: __________________________________

BOATNAME: ________________________________ HULL # ___________________

YACHT CLUB: _______________________________ SAIL #: ___________________

I agree to race in accordance with the J/105 Fleet 4 Class Rules as defined in the Articles of Association of the J/105 Fleet 4 Class Association.

Annual memberships for Fleet 4 Class Association are required for each boat racing. Fees are blended to include the J105 National fees and are due at the end of JANUARY each year.

Fleet 4 dues are $100 per boat, and an additional $50 per associate owner/driver. All fees are quoted in Canadian Funds.



 Signed: ___________________________________ Date: ____________________

Forms of Payment:

1) You can pay by PayPal account, access via link below: Processing the J/105 Fleet 4 Class Membership Dues

2) Or by cheque made payable to: J/105 Fleet IV Class Association. Please contact our Association This email address is being protected from spambots. You need JavaScript enabled to view it. for further details

Issued: December 2012