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Become a member of the Park City Sailing Association today
2011 Park City Sailing Membership
First Name (*)
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Last Name (*)
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Address (*)
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City (*)
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State (*)
--Choose--
ALABAMA
ALASKA
AMERICAN SAMOA
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
DISTRICT OF COLUMBIA
MICRONESIA
FLORIDA
GEORGIA
GUAM
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARSHALL ISLANDS
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
N.MARIANA ISLANDS
OHIO
OKLAHOMA
OREGON
PALAU
PENNSYLVANIA
PUERTO RICO
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGIN ISLANDS
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
Armed Forces Africa
Armed Forces Americas
Armed Forces Canada
Armed Forces Europe
Armed Forces MidEast
Armed Forces Pacific
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ZIP Code (*)
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Home Phone (*)
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Mobile Phone
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Email Address (*)
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Gender (*)
Male
Female
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Age Division (*)
--Choose--
Junior (Under 18 yrs)
Senior (18-34 yrs)
Apprentice (35-44 yrs)
Master (45-54 yrs)
Grand Master (55-64 yrs)
Great Grand Master (65+ yrs)
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Sail Number
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Sponsor Name on Sail
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US Sailing Member (*)
Yes
No
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US Sailing Member #
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Laser Class Member (*)
Yes
No
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Laser Sail Type
Full(Standard)
Radial
4.7
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Boat Storage? (*)
Yes
No
Not Sure Yet
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Comments
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Membership Level
-- Select --
Platinum ($250) - 250.00 USD
Family ($150) - 150.00 USD
Individual ($85) - 85.00 USD
Ages 23-30 ($60) - 60.00 USD
Junior <23 ($25) - 25.00 USD
Social ($25) - 25.00 USD
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Family Members
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J22 Charter Membership
J22 Member ($350) - 350.00 USD
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Total Payment
$
0.00
USD
NOTE: If you need to pay by cash or check, please
submit the form, just skip the online payment.
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