Secure Membership Order Form

If you prefer to fill out a form and send a check, please click here for the printable membership order form.

(Form notice- in order to send the form, you must press the "Submit " button at the bottom of the form.  Do not use the "enter key", that will send a partial form to the HQ.  This form is sent to the ACBS Headquarters over a secure server. You can verify this by noting the form URL begins with an "https", a characteristic of a secure server.)

*   required fields

Name:         *

Email Address:         *

Spouse:         

Address:         *

Address:         

City:         *      State/Province:         *   Zip:         *

Is the above address your mailing address?          Yes  No

If No, please provide your correct mailing address:

Mailing Address:         

Mailing Address:         

City:              State/Province:            Zip:        

 

Home Phone:         *   Work Phone:        

Dues Schedule:

ACBS International Dues:        $                                   

Annual (AN)          $45.00
Junior (JN)    $15.00
Life Membership  $750.00
Associate (AS) $100.00

Most ACBS Members belong to both the National Chapter and a Local Chapter.  The National membership provides the Rudder Subscription, Access to the National Membership Directory, etc.  Depending on your location, there is a chapter in many areas of the country that may also publish a chapter newsletter and offer many additional activities that are part of the ACBS.  See the chapter list to locate a chapter near you.  Enter the local dues amount in the box above.  If you wish to join any additional chapters as an Secondary Chapter, please list them below and also enter the appropriate dues amount for the Secondary Chapter.          

Primary Chapter Name                                           Dues:

                          $

Secondary Chapter Name

                          $

                          $

                          $

Total Dues:                                                               $

Payment Method:

Visa  Mastercard

Credit Card #         *   Expiration Date:         MM/YY *

Boat Information:

Boat 1:

Boat Name:        

Year:           Builder:           Model:        

Overall Length in Feet:            Hull #:        

Engine Make:            Engine HP:          

Boat 2:

Boat Name:         

Year:           Builder:           Model:        

Overall Length in Feet:            Hull #:        

Engine Make:            Engine HP:          

Boat 3:

Boat Name:        

Year:            Builder:           Model:        

Overall Length in Feet:            Hull #:        

Engine Make:           Engine HP: