INTERNATIONAL PENGUIN CLASS DINGHY ASSOCIATION

2012 Membership

 

Name _______________________________________________

Address ______________________________________________

            ______________________________________________

_______________________________________zip _____________

 

Phone _______________________(h | w | c)_____________________

E-mail _________________________________________________

 

Penguin # ______________

Boat Name ____________________________

Builder _______________________________

Fleet Name ____________________________

 

Regular Member (Boat Owner)                                              $25

Family Membership

Associate Membership

Junior Member (under 19)

South American Member                                                        $15

 

Checks payable to: International Penguin Class Dinghy Association (IPCDA)

Send to: Sandy Rapp, 1812 Highland Terrace, Glenview, IL  60025

 

Questions, Info: peng9730@yahoo.com    Sandy Rapp, Treasurer                       

                         Michael.Hecky@VerizonWireless.com         Mike Hecky,      Secretary