Return to: ROGER R. HENTHORN • 5853 CHAPELHILL DR. • DELHI, OH 45233-4705
| Annual Dues: | Regular Member | $95.00 | New Regular Member | $95.001 | |
| Associate Member | $20.00 | Youth Group | $75.00 | ||
| Commercial Member | $75.00 | 1includes $25.00 initiation fee |
| Make checks payable to Hueston Sailing Association |
| SECTION I - MEMBERSHIP COMMITTEE | |
| Member's Name: | Spouse's Name: |
| Address: | City, State Zip: |
| Telephone Home: | Telephone Office: |
| Email Address: | |
| Children: | |
| Name / Age: | Name / Age: |
| Name / Age: | Name / Age: |
| List all boats, including those used for day sailing only. | |
| Boat / Sail No. | Boat / Sail No. |
| Boat / Sail No. | Boat / Sail No. |
| I would prefer to receive the ACTON ACTION newsletter by: | email: [ ] | regular mail: [ ] |
| SECTION II - RACE COMMITTEE | |
| Member's Name: | Date dues received: |
| Telephone Home: | Telephone Office: |
| [ ] I am an Associate Member willing to help out on Race Committee. |
| Regular members serve one or two Sundays or one Holiday Series on the Race Committee. Please provide the Rear Commodore with the following dates. |
| Unable to serve on these dates -- |
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| Would prefer these dates -- |
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