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Gulfport Yacht Club Membership Application
Membership Exclusive Special: April 1st-May 31st
ONLY
INITIATION FEE WAIVED
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What membership are you applying for?
*
Resident (Resides in Harrison County)
Non Resident
Junior (Age 21-25)
Junior (Age 26-30)
Junior (Age 31-35)
Corporate
Military (Active)
Full Name
*
Your answer
Birth Day
*
MM
/
DD
/
YYYY
Residence Address
*
Your answer
Mailing Address
*
Your answer
Email Address
*
Your answer
Residence Phone Number
Your answer
Business Phone Number
Your answer
Cell Phone Number
*
Your answer
Occupation
Your answer
Boat Owner
Yes
No
Clear selection
Type of Boat
Your answer
Location of Boat
Your answer
Spouse Full Name
*
Your answer
Spouse Birth Day
*
MM
/
DD
/
YYYY
Date of Marriage
MM
/
DD
/
YYYY
Spouse Email
*
Your answer
Spouse Phone Number
*
Your answer
Children Name and Ages
*
Your answer
Are your Children interested in Sailing or Swimming ?
*
Sailing
Swimming
Both
Who is your GYC primary sponsor?
(Name and Member Number)
Your answer
Please Electronically Sign and Date
*
Your answer
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