Club Affilliation Form

[John Barron]

“The Top Stick Joes”

Club Name_________________________________________________

Contact Name_______________________________________________

Contact information__________________________________________

Number of boaters___________________________________________

Number of non boaters________________________________________

Years in existence____________________________________________

Area covered________________________________________________

Where are your club meetings held?______________________________

Do you have an annual banquet?_________________________________

What time of year do you hold your banquet?_______________________

Would you be interested in having a speaker come to a meeting?________


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