Clinton Lake Sailing Association

Personal Information

Full Name:

                                       Last

First

M.I.

Address:

                                       Street Address

                                                                                               Apartment Unit

                                     City

ZIP Code

Home Phone:

(         )

Alternate Phone:

(         )

E-mail Address:

Family Members:

Boat Information

Boat 1

(make;name)

Boat 3

(make;name)

Boat 2

(make;name)

Boat4

(make;name)

Membership Levels
(Check payable to "CLSA"):                             Send form and check to:

Family

$85

           Bill Vokac

Individual

$65

           P.O. Box 654

Student

$25

           Mansfield, IL  61854

Special Group

$150