2012 LOTSA On-Line Membership Application

Please Fill out the form below and click on the Submit Form button to e-mail your info to the club. 

After you submit the completed form, you will be forwarded to the Paypal Payment page to complete your membership application by credit/debit card though our secure PayPal Payment Service.

Are you a:



If you are a returning member, you do not need to fill out the entire form again other than your Name and make sure we have your current e-mail address, unless any of the information has changed from last year.

Please provide the following contact information:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
E-mail

Enter your Boat Name (if it has one) in the space provided below.


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Revised: 10/19/11