CANADIAN SHARK CLASS ASSOCIATION
MEMBERSHIP APPLICATION FORM

MEMBERSHIP FEES ARE DUE ANNUALLY IN JANUARY OF EACH YEAR)

RENEWAL:  ____	   NEW MEMBER:  ____	FEE PAID: _________________________

NAME: _______________________________________________________________

ADDRESS: ____________________________________________________________

CITY: _________________________________   		 PROVINCE/STATE: __________

POSTAL CODE: ___________           		TELEPHONE (Home) _________________

(Business) ___________________		          		(Fax) ___________________

Email Address(s) 	_______________________________________________________

BOAT  NAME:  ____________________________________SAIL NUMBER:_______

REGION  (see  list below):  ____  CLUB/MARINA: _______________________

----------------------------------------------------------------------------------------------------------------------------------------------------

				(DETACH TOP AND MAIL)

REGIONS: 	(AT) Atlantic, 	(BU/US) Buffalo, 	(GB) Georgian Bay, 	(GH) Golden
Horseshoe, Lake Ontario: Oakville to Fifty Point),	 (KQ) Kingston/Quinte,
(LH) Lake Huron, 	(NS) North Shore (Lake Ontario: Port Credit to Oshawa),
(QU) Quebec, 	(SS) South Shore (Grimsby to Youngstown), 	(OT) Ottawa, 
(TB) Thunder Bay, 	(WC) Western Canada 	(WI) Windsor/Essex.	(US) USA

DUES:  	$35.00 (FULL MEMBERSHIP INCLUDING $7.50 REGIONAL FEE)
       		$20.00 (ASSOCIATE MEMBERSHIP FOR NON-BOAT OWNERS)

Cheques should be made out and mailed to:

THE CANADIAN SHARK CLASS ASSOCIATION
P.O. BOX 24, 260 Adelaide Street East
Toronto, Ontario, M5A 1N0
Please note:

At the present time the CSCA Group Insurance is being provided through:
McMichael-Davis Insurance Brokers Ltd., 77 Bronte Rd., Suite #103, Oakville, Ontario L6L 3B7
(tel) 905-847-1616 (fax) 905-847-0780

Only paid-up members of CSCA are eligible for coverage.
Premium billings should be paid directly to the company and NOT to the CSCA..
For information please call the company.