Membership Application

Registration Form

Name____________________________________________________

Street Address_____________________________________________

________________________________________________________

City ___________________________ State _____ Zip_____________

Telephone (eg; 231-123-1234):

Home ____________________________

Cell _____________________________

E-Mail: ___________________________________________________

Username (for website) ______________________________________

Types of Ice boats owned

__________________________________

__________________________________

Membership is $10 per season, due by the annual meeting. Please mail early avoid the rush.

Print this page and remit to:

WMIYC c/o Chip Sawyer, Sec./Trea.
4602 Bluff Rd.,
Whitehall, MI 49461