Mail Application to:

ACBS International Headquarters, ATTN: Membership, 422 James Street, Clayton, NY 13624


Membership Application        (select File-Print from your browser to print this form)

NAME __________________________________________   E-Mail Address ________________
Address _____________________________________________
City ______________________________
State/Province ______________________
Zip _____________     Phone:      Eve ___________________      Day  ___________________

Dues Schedule:

International (select one)

Enter Amount*:

Type of Membership Dues  
Annual (AN) $45.00  
Junior (JN) under 18 $15.00  
Life Membership $750.00  
**Associate (AS) $50.00  
Local Chapter Preference: __Allegheny __$15.00___

Please join the Allegheny Chapter.


Total Dues:

*(All amounts in US funds unless otherwise noted.**Includes listing in the Directory by business name)

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_______________


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