Membership

*(denotes required field)

Adult Member Name(s) *

E-Mail Address: *

Children:

Please Enter Name(s) and Age(s).

Street Address: *

City: *

State: *

AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

Zip: *

Phone: *

Alternate Phone:

How did you learn about the Grosse Pointe Farms Boat Club?

Please list the committee(s) with which you would like to become involved:

Programming and Community Events
Social Club
Membership
Regatta
Administrative
Publicity
Other

Note: Multiple selections may be made.

Membership Type: *

Single - $35/calendar year Family - $50/calendar year

Upon submitting this application please send your check
(for $35 or $50 depending on your type of Membership) to:
Grosse Pointe Farms Boat Club
PO Box 36491
Grosse Pointe Farms, MI 48236
Please Call (313) 885-9190 with questions or email cindytoenjes@gmail.com.