APPLICATION FOR MEMBERSHIP IN WBCCI FULLTIMERS CLUB
(Membership is open to ALL members of WBCCI)
PLEASE PRINT ALL INFORMATION

DATE:WBCCI #
MEMBER NAME(S)
SUMMER ADDRESSWINTER ADDRESS
                                      
                                      
                                      
                                      
DATES: from___ to:___DATES: from___ to:___
Print this application, fill in the information, enclose $10-$20 check made payable to: WBCCI FULLTIMERS CLUB and send it to our Treasurer, Patrick Champagne, #9696, Washington Land Yacht Harbor, 9101-158 Steilacoom Road, S.E.
Olympia, WA 98513 (360) 456-8006



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Created: 10/1/97