_________________________________________________________________
NAME (LAST, FIRST, MIDDLE)
_________________________________________________________________
ADDRESS (RESIDENCE INCLUDING APT#,CITY,STATE,ZIP)
_________________________________________________________________
COMPANY NAME AND JOB TITLE OR DESCRIPTION
_________________________________________________________________
ADDRESS (BUSINESS INCLUDING SUITE/UNIT#,CITY,STATE,ZIP)
_________________________________________________________________
PHONES (BUSINESS, RESIDENCE, FAX)
SEND MAIL TO: (Circle one) BUSINESS RESIDENCE _________________________________________________________________
SPONSORS
_________________________________________________________________
| SPONSOR NAME AND PHONE |
SIGNATURE |
_________________________________________________________________
| SPONSOR NAME AND PHONE |
SIGNATURE |
|
|
This application must be signed by two members in good standing in the Tampa Bay Mariners Club. Additionally, the applicant (or one sponsor) must submit (with this application) a letter of qualifications (of the applicant) on either the applicant's company letterhead (if applicant) or the sponsor's letterhead (if sponsor).
This application must be accompanied by an application fee of $10.00 PLUS annual dues. Annual dues are $25.00 ($15.00 after 1 June). |
