Return Checks to: ROGER R. HENTHORN • 5853 CHAPELHILL DR. • CINCINNATI, OH 45233-4705
| Annual Dues: | [ ] Regular Member | $105.00 | [ ] New Regular Member | $105.00 | |
| [ ] Associate Member | $20.00 | [ ] Youth Group | $85.00 | ||
| [ ] Commercial Member | $95.00 |
| 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: | Telephone Cell: |
| 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. |
| . | |
| Do you plan on storing a boat or trailer in the Dry Moorage Area this Summer? | [ ] Yes [ ] No |
| 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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