Application Form

CS Yacht Owners West Membership Form

If you own a CS or Quanta 28 sailboat and are interested in joining CS Yacht Owners West, please complete the membership application form below. Annual membership dues are $30, payable by cheque made out to CS Yacht Owners West, which you should forward by mail to:

CS West
920 - 6880 Wallace Drive
Victoria BC V8M 1N8
If you would like a club burgee, please send an additional $15.

Choose One *

Renewal New Member

Date *

Other Co-Owner (besides spouse/partner) if applicable

Last Name *

Spouse/Partner Last Name *

Home Ph. *

First Name *

Spouse/Partner First Name *

Work Ph. *

Last Name *

Home Ph. *

Email *

First Name *

Work Ph. *

Cell Ph. *

Email *

Address - Line 1 *

City *

PCode/Zip *

Address - Line 2 *

Prov./State *

Boat Name *

Yacht Club Affiliation *

Model/Length *

Year Built *

Moorage At *

CS West is entirely volunteer-run and, as a primary objective, promotes members helping one another on boating matters. Please indicate any of your skills, e.g., web page design, other computer skills, written communication, etc., and other relevant organizational, trade or professional experience that you think may be helpful to CS West and/or its members.

Comment *

Disclosure consent *

I hereby consent to the above information being shared with other members of CS Yacht Owners West and to the fact of my membership in CS Yacht Owners West being disclosed to any person or organization.

Submit