2010 Membership Application

Date: ____________________________________

Boat Crew:
Captain (Owner): ____________________________________

Mate: ____________________________________

Home Address: ____________________________________

____________________________________

Home Phone Number:____________________________________

Boat Phone Number: ____________________________________

Cell Phone Number: ____________________________________

Email Address: ____________________________________

Boat Name: ____________________________________

Length and Beam (width) ____________________________________

Membership Fees:

Annual Active Membership $ 45.00

Annual Dues to CBYCA $ 5.00
(Contribution to Legislative, Legal Fund)

Total $ 50.00

Checks should be made payable to The Kennersley Yacht Club

Applications and checks may be dropped off at the marina office or mailed to:

Susan Timmins
P. O. Box 95
Chester Heights, PA 19017

The Officers of Kennersley Yacht Club wish you a safe and pleasant boating season