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Adult Sailing Registration

 

IDA LEWIS YACHT CLUB ADULT SAILING PROGRAM

2013 REGISTRATION FORM

Mondays, June 10th – August 26th, 2013

 

 

Name:

 

Address:

 

City:

 

State:

 

Zip:

 

 

Home Phone:

 

Work Phone:

 

Cell Phone:

 

 

 

Email:

 

 

 

Sailing Experience?

 

Members,  $200                                                                 Non Member,  $375

 __Charge to my ILYC account                                    __Check enclosed

__Charge to my credit card***                                     __Charge deposit to my credit card***

 

VISA/MASTERCARD #______________________________________***  EXPIRATION_____________ AMOUNT_____________         

        

*** If you are going to email registration, please call us with your credit card number as this

                    PDF is not encrypted.

                                                                                         

Signature_________________________________________________                                

 

Mail or Email Registration to:     Ida Lewis Yacht Club, Adult Program, P.O. 479, Newport, RI 02840

                                                      Or email ILYC@ILYC.org In the Subject Line please type: Adult Registration

 

Click Here for Waiver which must be completed for participation.