Bluegrass Chapter
The Grass is Bluer in Kentucky
Join ACBS On-Line
-- Via a Secure Server or download the form below and mail to:
The Antique & Classic Boat Society Inc.
422 James Street
Clayton, NY 13624-1202
Blue Grass Chapter Antique & Classic Boat Society Membership Application
NAME __________________________________________ E-Mail Address _________________________________
SPOUSE________________________________________
Address ________________________________________
City ____________________________________________ State/Province ______________________
Zip _____________ Phone: Eve ___________________Day ___________________
Dues Schedule:
(select one)
Enter Amount*:
Type of Membership
Dues
Annual (AN)
$15.00
________________
Junior (JN)
$5.00
________________
Charter Member for Life
$250.00
________________
Total Dues:
________________
Boat Information:
Boat #1 Year______________Builder_________________ Model________________Length Overall________________Hull
#_______________HP______Engine Make__________________# Cyl_______________
Boat #2 Year______________Builder_________________ Model________________Length Overall________________Hull
#_______________HP______Engine Make__________________ # Cyl_______________
Boat #3 Year______________Builder_________________ Model________________Length Overall________________Hull
#_______________HP______Engine Make__________________ # Cyl_______________
(select one) Enter Amount*:Dues Annual (AN) $15.00 ________________Junior (JN) $5.00 ________________Charter Member for Life$250.00 ________________Total Dues:________________ 