Join NFACB

MEMBERSHIP APPLICATION

Name:______________________________ Spouse/Co-Member:____________________

Address:____________________________ Phone:_______________________________

City:________________________________ State:______________ Zip:______________

E-Mail Address:___________________________________________________________

DIRECTORY INFORMATION: BOAT(S) CURRENTLY OWNED

Year:_______ Builder:____________________________ Model:_____________________

Length:_____ Hull #:__________________ Boat Name:_____________________________

Engine Make:______________ Cyl:__________ HP:_______________________________
(List additional boats on separate sheet.)

ACBS MEMBERSHIP (ANNUAL)...........................................$45 $_________
NFACB CHAPTER (ANNUAL)................................................$20 $_________
TOTAL REMITTANCE payable to Niagara Frontier Antique & Classic Boats $_________

PLEASE PRINT THIS APPLICATION AND MAIL IT WITH YOUR REMITTANCE TO:

Mail to: NFACBS c/o Sharon Dickinson, 143 Marilyn Drive, Grand Island, New York 14072

Questions: Call Sharon at 574-0435 or Jennifer at 892-1425.

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