Antique & Classic Boat Society
 Membership Application
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 
NAME __________________________________________   E-Mail Address _________________________________

SPOUSE________________________________________

Address ________________________________________

City ____________________________________________     State/Province ______________________

Zip _____________     Phone:      Eve ___________________Day  ___________________

Dues Schedule in the USA:    (select one) Enter Amount*:
Type of MembershipDues
For Individuals under age 21

Annual Junior (JM)$15.00________________
Junior Life (JL)      $500.00      ________________

For Individuals, their spouses/partners & any children under 21
 
Annual Adult (AN)$35.00  _________________
Adult Life     $750.00_________________

For Organizations (listed by business name)

Annual Associate$100.00 ________________
Associate Life     $1500.00________________

      Dues ACBS:      ________________  

Bluegrass Dues Schedule:   (select one) Enter Amount*:
Type of MembershipDues
 
Annual Adult$15.00   ________________
Junior (JN)   $5.00    ________________
Charter Member for Life$250.00 ________________

Dues Bluegrass Chapter    ________________ 
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_______________