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 MembershipDues 
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_______________