Join the BEST Airboat Club in Florida!

www.lakeairboatclub.com

MEMBERSHIP APPLICATION

Join us today!  Print this page and fill out the MEMBERSHIP APPLICATION and send in your family dues of $25.00 for the year!  Thanks for joining!

Please make a note on your application if you are interested in becoming a Sponsor and Vera will call you! Thank you for your support!!!

Mail to: Lake County Airboat Club P.O. Box 373 Altoona, Fl.  32702

Name_______________________________________________________ Address_____________________________________________________ City_______________________St._________Zip___________________ Phone # (          )  ___________________________________________ Spouse_____________________________________________________ # of dependents_________________ (optional) Signature___________________________________________________ L.C.A.C. MEMBERSHIP                                        $25.00 ____________________________________________________________                                (OFFICE USE ONLY) (   ) Receipt & Card                                 Date___________________ Amount Paid                                           _______________________ __________________________________________________________                                   MEMBER REFERRAL OPTIONAL QUESTIONNAIRE: Would you object to your Name/Address/Phone number being given to other members?      ________yes________no E-mail address_____________________________________________ Cell  phone # ______________________________________________ Nextel Radio # _____________________________________________ Will you serve on committees?   _______yes_______no Will you participate in outings?   _______yes_______no Will you help organzie outings?  _______yes_______no Do you like overnight trips?      _______yes_______no

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