Membership Application

Application for Membership in the PGIslanders Boating Club

Primary Member Information
for Primary Member
for Primary Member
for Primary Member
Format is "MM/DD"

For Primary Member
What Name do you want on it? (nick names are allowed)
Other Member Information
for Other Member
for Other Member
Format is "MM/DD"

for Other Member
For This Member
What Name do you want on it? (nick names are allowed)
Address Information

Vessel Information


Other Information
Message from Membership Chairperson

IMPORTANT: You must be a member of the PGI Civic Association and Not a member of another PGICA Boat Club to join the PGISLANDERS CRUISING CLUB.

AMOUNTS DUE ARE:

  • Annual Dues ($10.00/person),
  • Club Burgee ($30.00)
  • Name Tags ($7.00/person)
  • _____________________
  • Total Amount for 2 persons is $64.00

Thank You,

Gene and Sue Fuller
Membership Chairperson
3437 St Croix Ct
Punta Gorda, FL 33950