Application for Active ● Non-Resident Membership This application form is for Active or Non-Resident membership status only. Thank you for applying for membership with the Bellingham Yacht Club. You will receive a confirmation email. This application form is for Active or Non-Resident membership only. Your application will be submitted electronically. If you paid via Credit Card through our PayPal interface and completed the process successfully, no further payment is necessary. Your application will be reviewed and voted on by the Board of Directors. They meet the third Thursday of each month, so the process may take a few weeks depending on when you submitted your application. Once approved, our Membership committee will be contacting you with the relevant new member information including your membership card(s), a club roster and welcome letter. I look forward to meeting you and welcoming you to the club. Tim Thompson Commodore Bellingham Yacht Club Note: If you don't receive an email confirmation, please check your Junk Mail as your spam filter may have diverted the email. Step 1 of 2 50% Personal InformationApplicant Name* First Last Spouse or Domestic Partner?*Do you have a spouse or domestic partner that you wish to include on your membership?YesNoSpouse/Domestic Partner Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Phone - Home*Enter mobile phone number here if no home phone.Applicant Phone - Mobile*Enter home phone here if no mobile phone.Spouse/Partner Phone - Mobile*Applicant Email Address* Enter Email Confirm Email OK to Email Jib Sheet Newsletter to Applicant?*YesNoSpouse/Partner Email Address Enter Email Confirm Email OK to Email Jib Sheet Newsletter to Spouse/Partner?*YesNoBirthday - Applicant*The year is not shared on the roster. Birthday - Spouse/Partner*The year is not shared on the roster. Occupation*Boat InformationBoat Owner?*You are not required to be a boat owner in order to apply for membership.YesNoBoat Type*You are not required to be a boat owner in order to apply for membership.PowerSailLength in feet*Make of Boat*Boat Name*Other InformationOther Club MembershipsName and Birthdates of dependent ChildrenPress the plus sign (+) at the right to add another dependent.NameBirthdate Applicant Badge Name*Type your name as you would like it to appear on your membership badge.Spouse/Partner Badge Name*Type your name as you would like it to appear on your membership badge.Include Boat Name on Badge?*YesNoBoat Name*Please tell us about yourself(s) and why you want to join BYC.Membership InformationMembership in the club is for the applicant and his/her immediate family (spouse/domestic partner and children under the age of 21). The Applicant agrees to be responsible for all family members as defined by this application, including all club charges. This application shall not be binding upon the Club until written notice of acceptance and/or membership cards(s) is/are issued by the club. Signature by Applicant confirms that he/she acknowledges Club Membership is governed by the Club By-Laws and Policies. Membership types are: ACTIVE: Applies to all applicants except for those falling into the next two categories. NON-RESIDENT: Applicant attests residency more than 50 miles away for more than sevent months/year or Canadian residents. INTERMEDATE: Applicant is between the ages of 21-29 inclusive. JUNIOR: Applicant is under the age of 21 (or 23 if a full-time student) Please Note: This form is only for Active and Non-Resident applicants. Please use the separate Membership Application for for Intermediate Applicants.Membership Type*Please indicate Membership Type desired. ActiveNon-ResidentUpload Your Letter of Request*If you'd like, you may upload a letter of reference from existing club members or supporting documentation. Acceptable formats for the document are text, Word or PDF.Accepted file types: txt, doc, docx, pdf. Payment InfoPayment Required MEMBERSHIP CATEGORIES: ACTIVE: All except Non-Resident, Intermediate and Youth. NON-RESIDENT: Applicant attests residency more than 50 miles away more than seven months/year or Canadian residents. Category Requested Annual Dues Year Ending 9/30/2019 Dues Payable with Application Dated: Oct-Dec Jan-Mar Apr-Jun Jul-Sep Active $558 $558 $418.50 $279 $139.50 Non-Resident $372 $372 $279 $186 $93 (Note: To inquire about alternative payment arrangements, send an email to email@example.com) Total amount to include with application:Initiation Fee*Initiation Fee Price: $310.00 Active Membership - Oct-Dec*Application Received October-December 2018 Price: $558.00 Non-Resident Membership - Oct-Dec*Application Received October-December 2018 Price: $372.00 Active Membership - Jan-Mar*Application Received January - March 2019 Price: $418.50 Non-Resident Membership - Jan-Mar*Application Received January - March 2019 Price: $279.00 Resident Memberships Purchased April - June 2019*Application Received April - June 2019 Price: $139.50 Non-Resident Membership Purchased April - June 2019*Application Received April - June 2019 Price: $94.75 Non-Resident Membership - Apr-Jun - Post Drive*Application Received April - June 2019 (Not active, set time stamp use) Price: $186.00 Active Membership - Jul-Sep*Application Received July - September 2019 Price: $139.50 Non-Resident Membership - Jul-Sep*Application Received July - September 2019 Price: $93.00 Total $0.00 Payment Type*You can pay by check at the BYC bar or mail, or by credit card at the BYC bar, by credit card via PayPal online, or by completing the ACH auto-deduct form on your application.CheckCredit Card via PayPal (PayPal account not required)Auto-Pay EnrollmentYou can pay by check at the BYC bar or mail, or by credit card at the BYC bar, by credit card via PayPal online, or by completing the ACH auto-deduct form on your application. Mail checks to: Attn: Membership Application Bellingham Yacht Club. 2625 S. Harbor Loop Dr Bellingham, WA 98225 (360) 733-7390 Alternatively you may enroll in BYC’s Automatic Payment Arrangement (Auto-Pay). All new members are strongly encouraged to elect the Auto Pay option. If you choose this option at this time, please complete the form below. Confirm that you wish to have the total amount above charged to your bank account once you are approved for membership by initialing here__________. FOR OFFICE USE ONLY Rec'd by:____________________________________at Bar: ☐ Office: ☐ Mail: ☐ Board Approval: ☐ Posted Office: ☐ Publications: ☐ Letter: ☐ Cards: ☐ Packet: ☐ Burgee: ☐ Bellingham Yacht Club Auto-Pay Arrangement Enrollment FormThe club allows members to pay their member account balances including bar tab, club store purchases, event payments, and certain other payments by an Electronic Funds Transfer from their bank accounts. In addition payment of expenses incurred by a member on behalf of the club would also be reimbursed through the same process. If you choose to enroll, at the end of each month you will receive an invoice for your Member Account via email from firstname.lastname@example.org which will detail your charges. You will have at least 2 weeks to review the invoice and make any inquiries regarding the charges thereon. Then on about the 15th of the month, your checking account will be charged for the amount of the invoice. To enroll please fill out the following information: Name on Account First Middle Last EmailEmail address where you want your monthly invoice sent. Enter Email Confirm Email Bank Routing NumberBank Account NumberAccount TypeCheckingSavingsI acknowledge that Bellingham Yacht Club may initiate an auto-payment from my bank account of record to satisfy monthly charges to my BYC Member Account. I agree to pay any and all charges which occur as a result of insufficient funds in my account and to notify email@example.com of any change in bank information or email address. Signature: Date: PLEASE ATTACH A VOIDED CHECK!