PBA APPLICATION FORM

                                               MEMBERSHIP APPLICATION/RENEWAL FORM, Year 2008
                                                               PENNSYLVANIA BOATING ASSOCIATION, Inc.
                                                                               Incorporated 1966

Your name/organization ________________________________________________ Date __________
                                                                (please print)

MEMBERSHIP TYPE Individual ____ *New ____; **Renewal ____; ***Life ____; ****Dealer ____;
                                                                                                                    (***previously enrolled)

                                               (please check applicable category or categories)

MEMBERSHIP FEE SCHEDULE

_____ Individual                  $7.00;                             _____ Club/Association         $36.00;
                               (calendar year)                                                                   (calendar year)
_____ Comm./Dealer      $36.00;                             _____ Life Member                $100.00;
                               (calendar year)                             (individual members only – one time payment)

                                                                     (please choose only one)

Amount Enclosed ______ please no cash; Make check or money order out to PA Boating Assn.

Your/Org Address ____________________________            Yaht Club Affiliation ________________________
                                                                                                                (if any)
City _______________________________________           Address __________________________________

State _____________________   Zip ___________               State _______________________   Zip ___________

Email Address __________________________________________________________________________

THANK YOU FOR YOUR SUPPORT IN BEHALF OF ALL RECREATIONAL BOATERS IN THE COMMONWEALTH

Send to:

PA Boating Association
P.O. Box 810
Bryn Athyn, PA 19009

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PA Boating Association
P.O. Box 810
Bryn Athyn, PA 19009

feel free to e-mail photos to joe@francano.org to be included in this website. Be sure to include your name, club and any other things of relevance in the photo for captions.