King Harbor Yacht Club
Pending Applicant
Information Card

Date:

First Name*: Last Name*:

Spouse Name: Children's Name(s)

Address*:

City*: State*: Zip*:

Home Phone*: Work Phone:

E-mail:

Do you own a Boat?                           Type: Sail Power Size

Sponsor (If Available): Member Number:

Upon receipt of the completed information card,
the Membership Chairman will be in contact with the applicant.

*Required information