Application for Active ● Non-Resident Membership This application form is for Active or Non-Resident membership status only. After completing the form you will receive a confirmation email with an attached PDF copy of your completed application which you must sign and procure sponsorship signatures (not required for Non-Resident applications) prior to submitting the application for approval. Completed applications should be returned to the BYC either via mail or in person at the club bar. 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 AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe 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*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 RequestNon-residents, you may upload your letter stating why you would like to become members of the Bellingham Yacht Club or print the PDF confirmation you will receive and mail or bring your application with the letter.. Accepted file types: txt, doc, docx, pdf. Applicant Signature: Date: Applications require sponsorship by two voting members. Non-residents who wish to apply for membership and who do not know two voting members may submit a written statement introducing themselves to the Board of Directors and detailing why the are seeking membership in lieu of two signatures. Sponsors: By signing this application, you are acknowledging that you know the applicant sufficiently to vouch for their suitability as a member. Sponsors also agree to take an active role in welcoming and assimilating the member into the club. VOTING MEMBER SPONSORS Printed Name Signature 1. 2. 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 9/30/2018 Dues Payable with Application Dated: Oct-Dec Jan-Mar Apr-Jun Jul-Sep Active $516 $516 $387 $258 $129 Non-Resident $345 $345 $259 $173 $87 (Note: To inquire about alternative payment arrangements, send an email to firstname.lastname@example.org) Total amount to include with application:Initiation Fee* Price: $310.00 Active Membership - Oct-Dec*Application Received October-December 2017 Price: $516.00 Non-Resident Membership - Oct-Dec*Application Received October-December 2017 Price: $345.00 Active Membership - Jan-Mar*Application Received January - March 2018 Price: $387.00 Non-Resident Membership - Jan-Mar*Application Received January - March 2018 Price: $259.00 Active Membership - Apr-Jun*Application Received April - June 2018 Price: $258.00 Non-Resident Membership - Apr-Jun*Application Received April - June 2018 Price: $173.00 Active Membership - Jul-Sep*Application Received July - September 2018 Price: $129.00 Non-Resident Membership - Jul-Sep*Application Received July - September 2018 Price: $87.00 Total $0.00 Payment Type*CheckCredit Card via PayPal (PayPal account not required)Credit Card at BYC Bar (Open Tuesday-Friday evenings)Auto-Pay EnrollmentPlease enclose check made out to BYC. For payment by credit card in person, please visit the club during bar hours and attach the receipt. 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 has set up a mechanism to allow 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 (also known as Auto-pay or ACH). In addition payment of expenses incurred by a member on behalf of the club would also be reimbursed through the same process. This should be a valuable benefit to members as there will be no more checks for members to write, mail or deposit, and it will reduce the workload on accounting and event planning volunteers. If you choose to enroll, at the end of each month you will receive an invoice for your Member Account via email from email@example.com 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 firstname.lastname@example.org of any change in bank information or email address. Signature: Date: PLEASE ATTACH A VOIDED CHECK!