Membership Application & Renewal Form
Please complete this form to renew your membership or to become a new member.

Annual Dues: $25.00New Member Registration Fee: $5.00

If payment is made after Sept. 30th of current calendar year, membership will extend to the end of the following calendar year. Please make payment no later than February 1. Members renewing after February 1 will be assessed a new member registration fee.

Mail payment with this form to:
Buffalo Model Boat Club
7527 Gilbert Road
Bergen, NY 14416
OR
Give it to the treasurer at the next meeting

Name

Phone

Address

City

State

ZIP

Email

Spouse Name

AREAS OF INTEREST YES NO
Sail    
Scale    
Fast Electric    
Steam    

DO YOU CURRENTLY HAVE MARITIME MODELS ?

1.

2.

3.

MEMBER SIGNATURE:

DATE

PLEASE WRITE ANY COMMENTS/SUGGESTIONS YOU MAY HAVE ON BACK OF THIS FORM