Address:_____________________________________ Date of Birth:_________________________
Phone No. _____________________________ E-mail Address: ___________________
Cell Phone: ____________________________
Employer: _____________________________ Occupation: _____________________
Business Address: ________________________ Business Phone:
List other family members for whom Privilege Cards will be requested.
Name: Relationship: Date of Birth:
Interests: Clubs, Affiliations, Hobbies, Sports or Special Skills.
How did you learn about Echo Bay Yacht Club?
In the event of election to membership in Echo Bay Yacht Club, I agree to abide by its constitution
and by laws and all rules and regulations now in affect or that may hereafter be adopted.
Signed (print and sign) ____________________________________________________
Please complete this application and mail/email to: Jerome Rigoroso
Rear Commodore, EBYC
Post Office Box 288
New Rochelle, New York 10802-0288