Membership Renewal Form

REGULAR MEMBER - Kauai Resident - $175JUNIOR MEMBER - Kauai Resident, age 14-20 with no parent member - requires waiver - $25STUDENT MEMBER - Kauai Resident enrolled in degree program, requires proof of enrollment - $50ASSOCIATE MEMBER - State of Hawaii other than Kauai - $200NON-RESIDENT MEMBER - $225LIFETIME MEMBER - Not Currently Available

Decal only for existing additional membership card #1

Additional Membership Card #1 ($15)

Decal only for existing additional membership card #2

Additional Membership Card #2 ($15)

Decal only for existing additional membership card #3

Additional Membership Card #3 ($15)

Decal only for existing additional membership card #4

Additional Membership Card #4 ($15)

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

DO NOT Publish my contact information in the NYC Membership DirectoryDO NOT send my Newsletter by emailPlease Send by 1st Class U.S. Postal Mail ( Additional $20 to cover postage and printing costs)

Check this box if you have volunteered 10 or more hours in 2019, the hours are recorded on the signup sheets and you would like a $50 refund of 2020 dues paid.

By Paypal (4% fee added)By Check (made payable to NYC and mailed with the renewal form )

Membership CommitteeFacility Development CommitteeWebmasterPublicity CommitteeConstruction Projects LaborSilent Auction OrganizerRace & Channel Race CommitteeFleet Maintenance/RepairKeiki Fishing TournamentFund Raising CommitteeSailing Program InstructorChristmas Boat Display EventYouth Activities CommitteeRace Start/Finish OfficerI WILL CHAIR A COMMITTEE

Nawiliwili Yacht Club

* Denotes required field

INVOICE

I VOLUNTEER TO WORK ON THE FOLLOWING COMMITTEES

Section

Section

Verification