The Rudder Club of Jacksonville, Inc.

8533 Malaga Avenue, Jacksonville, Florida 32244

904-264-4094 www.rudderclub.com

Membership Type: Charter Young Adult Junior Non-Resident

Initiation Fee: $250.00 $133.75 $26.75 $53.50

I, hereby submit my application for membership as circled above with my Initiation Fee of $ and first month’s dues of $ totaling $ , which will be refunded in full in the event my membership is not approved by the Board of Governors. Upon approval of my membership I agree to pay monthly dues and other charges to my account by the 20th of each month or be assessed a late fee of $5.00 or 10%, whichever is greater. I understand that dues and charges over 30 days late will result in suspension of my club privileges until such payment is current. I also understand and agree that resignation from the club must be submitted to the Board of Governors in writing and approved before the following billing cycle to due charges. I agree to abide by club by-laws and am willing to help with one race or social a year, one workday a year, and volunteer to help with the Mug Race. I volunteer for the following events and workdays:

1)

2)

3)

Name Date of Birth

Spouse Date of Birth

Names and age(s) of children

Address

E-mail (self) E-mail (spouse)

Home Phone Work Phone Cell Phone

Employer /Occupation: Self Spouse

Financial Institution/Bank: List three credit references:

Why are you interested in joining the club?______

Signature: Date:

Rudder Club Sponsoring Member:

Dues and Storage Fees:

Charter Membership $74.04 monthly

Young Adult(Ages 19 - 25 and single) $37.02 monthly

Non-Resident (See Notes) $79.91 (billed Jan and July)

Junior Members (Ages 8-18) $33.07 (billed Jan and July)

Dry Storage fees $33.07 monthly

Wet Storage fees $4.12 per foot plus tax monthly ($103.00 minimum)

Notes:

Charter members have vested ownership in the club and voting rights at membership meetings.

Non-Resident members mustlive beyond a 50 mile radius of the club (not road miles).

First month’s dues and initiation must accompany application.

Membership number issued Effective Date

Boat storage# Type of Membership