Salty Dawg 2021 Membership

Welcome!  Please complete and submit the below form for processing.

    1 Person joining for 1 month - US$30
    Couple Joining for 1 month - US$56

    Full Name, Include Partner's Full Name as well if you choose couple membership
    please include middle name(s) (required)

    Email Address(required)

    Please fill in all relevant sections

    Your Mailing Address

    Home Phone Number

    Mobile Phone Number

    Work Phone Number

    What are your Main Areas of Interest? Please select as many as appropriate
    Leisure SailingYacht RacingDinghy TrainingDinghy RacingPower BoatingSocial Events

    PAYMENT

    Please be advised that at the moment this is NOT a secure payment website. We strongly advise that you telephone us with your payment information. Please call the AYC Office on + 1 268 460 1799 during normal office hours EST (UT-4 hours).

    Card type - please select
    VISAMastercard

    Name of Cardholder

    Card Number

    Expiry Date - mm/yy

    Card Security Code (3 digit number on the back)

    Amount of Payment, US$30 or US$56 (US$)