Membership Application
Lake Champlain Chapter of the Antique and Classic Boat Society
Please print this form and mail it to ACBS Headquarters
Name:___________________________________
Spouse / Co-Member:_______________________
Address:__________________________________
City:_____________________________________
State:______________________ Zip:___________
Email:____________________________________
Telephone: Day:_______________________
Evening:_____________________________
Winter address:_____________________________
City:______________________________________
State:_______________________ Zip:___________
Email:_____________________________________
Telephone: Day:_______________________
Evening:_____________________________
Directory Information - Boats Currently Owned
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Builder |
Model |
Length |
Hull# |
Boat Name |
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Cyl |
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National ACBS dues: $45 Lake Champlain Chapter dues: $20
Mail application and $65 to:
ACBS Headquarters 422 James St. Clayton, NY 13624
Please make check payable to: ACBS