ON-LINE APPLICATION

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Annapolis Naval Sailing Association (ANSA) Membership Application

Applicant

First Name
Middle Initial
Last Name
Cell Phone
Work Phone
Home Phone
Street Address
City
Zip
Referred by
Why did you join or why do you stay in ANSA? (Please check all that apply):
How can you contribute to ANSA activities? (Please check all that apply):
Date
Authority
For new members, how did you learn about ANSA?
0 /

Spouse

First Name
Middle Initial
Last Name
Cell Phone
Work Phone
Home Phone
Level of Interest in Sailing
Date
Authority

Dependent Children

First name of youngest child & age
First name of 2nd youngest child & age

Complete Application

Pay by PayPal Below or Send a check to: 

ANSA, 6807 Crofton Colony Ct., Crofton, MD 21114

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NOTE:  The following rates apply to 2017 Memberships

valid from January 1 through December 31, 2017


Type Membership