Metal Boat Society Membership Application
 
Please print this form, fill it in, and mail or fax to:
P.O. Box 61856, Vancouver, WA 98666
Phone: +1-360-695-4100 ~ Fax: +1-360-993-1600
____    $45.00 USD annually for members in the U.S.
____    $52.50 USD annually for members in Canada (Metal Boat Quarterly mailed 1st class).
____    ____    $62.50 USD annually for members in all other countries (Metal Boat Quarterly mailed 1st class).
____    $27.50 YES, I WANT TO RECEIVE THE METAL BOAT QUARTERLY ONLINE (NO MAILED COPY)  –  SIGN ME UP FOR THE VIRTUAL FLAT RATE MEMBERSHIP
____    $195.00 USD annually for Commercial Membership.
____   check here if this is a renewal.

Date _____________________

Last name____________________  First name_________________  Spouse_________________

Street Address____________________________________________________________________

City___________________ State/Prov._______  Postal Code__________  Country____________

Email_________________________________________  Phone____________________________

Web Site_______________________________________ Vessel Name______________________

Vessel Description_________________________________________________________________

Commercial Members:

Business Name_____________________________  Contact Name_________________________

Street Address____________________________________________________________________

City___________________ State/Prov._______  Postal Code__________  Country____________

Email_________________________________________  Phone____________________________

Web Site_______________________________________

Payment information:

____ Check or money order enclosed.

Credit Card:   MasterCard ____ Visa ____ American Express ____ Amount _______________

Card No: ____________________________________________ Exp date:_________________

Authorized Signature:_________________________________________