Membership Application

Date
Name
Street address City State/Zip
Telephone E-mail address
Sail no. Fleet Boat name
Boat manufacturer Rebuilt (by whom) Type: Wood or Glass

Membership:                                                             Make checks payable to:
Active $35.00 (Boat Owners)                                     AMERICAN SHARK ASSOCIATION
Associate $20.00 (Crews and ‘Old Salts’)                   2605 Bainbridge Blvd
Chesapeake, VA 23324-1862