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    Membership Renewal

    Dues and deadlines

    When you submit this form Family Single

    Renewal form

    Your information goes straight to the LCYC Secretary and Treasurer. No printing, no handwriting.

    Membership type

    A membership is a couple (Captain and First Mate) or a single individual (Captain).


    Please choose a membership type.

    Captain

    Required.


    Required.



    Please enter a valid email address.


    Required.


    Required.


    Required.


    Required.


    Required.

    First Mate

    Family memberships only. Leave blank for a single membership.


    A Family membership needs a First Mate name.


    Required.





    Vessel and dock





    Children included in your family membership

    Children remain covered through November 30 of the membership year in which they turn 21. Enter each child’s name and full date of birth (MM/DD/YYYY).




    Anything else







    Choose a membership type above to see your amount due.

    Renewal received

    Membership
    Captain
    Membership year
    Amount due

    Enclose a check payable to

    Mail it to

    How to pay

    Submitting this form records your renewal with the club. Dues are paid separately by check.

    Check payable to

    Mail to

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