Mukilteo Yacht Club Membership Application
You can complete this form in your web browser, then print it on your printer, and mail it to the club at the address shown below. Please include the required dues and initiation fee. Because dues and fees must accompany the application, we do not accept electronic submissions. When you are ready click here to return to the membership information page. Click here to return to the membership information page, or use the 'Back' button on your web browser.

Name
Birthday (Month/Day)
First Mate
Birthday (Month/Day)
Children's Names
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
E-mail Address
Home Phone
Cell Phone
Work Phone
Boat Owner?	Yes No
Boat Name
Power or Sail
Yr, Make, Model, Ft.
Other Yacht Clubs
Sponsored by:
I wish to become a member of the Mukilteo Yacht Club
Signature	____________________________________________

How did you learn about Mukilteo Yacht Club
Club use only
Approved by:
Date:
Amount Paid:

Please mail your application and check for $200.00 to:
Mukilteo Yacht Club
P.O. Box 915
Mukilteo, WA 98275