Membership Application Form

Choose Membership Level:
Student(with valid ID)$20
Friend/Senior (Individual) $45
Supporter (family/household)$75
Contributor $150
Sponsor $250
Patron $500
Penobscot Bay Society Sloop $1000
Penobscot Bay Society Schooner $2500

Name (required)

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Additional Name

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Primary Mailing Address (required)

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Phone

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Secondary Address

If you are out of the area for part of the year, we can mail stuff to you at your secondary address.


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This membership is a gift from:


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Mailing Address

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Phone

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Comments

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