To maintain up to date membership information please complete this form, click
the "Print Now" button at the bottom andof this page, and mail it
to:
P.O. Box 2001
St. Augustine, FL 32085
along with check or money order payable to ACGFA.
Family $50.00
Individual $30.00
TO BE COMPLETED BY SECRETARY
Check or Money Order # _____________________________ in the amount of $__________
for the ____________/___________ Membership Year as a New/Renewal Member.
TO BE COMPLETED BY APPLICANT
Date:
Name:
Spouse:
Mailing Address:
Street: (if different):
City:
State:
Zip:
Phone (H):
Phone (W):
E-mail:
Fax:
Children:
Name:
Birthdate:
Name:
Birthdate:
Name:
Birthdate:
Name:
Birthdate:
Boat:
Boat Name:
Boat Make:
Boat Length:
FL#:
ANY CHANGE (INCLUDING ACQUISITION OF A BOAT) PLEASE NOTIFY ACGFA SECRETARY.
When you are done fully filling out this form, make sure your Internet
text size is set to Small or Medium (if you know how, if you don't
it should still be OK) please Click the "Print Now " button
below. When the document is done printing, please bring to the next meeting or mail this form, and
your Check or Money order to:
ACGFA, P.O. Box 2001, St. Augustine, FL 32085