Application – Danville Boat Club

Name:

First

Middle

Last

Date of Birth:

My Employer (Place of Employment):

Occupation:

Mobile Number:

Home Number:

Work Number:

Email:

Marital Status

Membership Selection (Application Fee =$100) Dues listed by membership:

You will be invoiced the prorated dues based on the balance left of our fiscal year (Oct 1 ~ Sep 30)

If Married or a Couple, Enter Full Name of Spouse or Partner:

First

Middle

Last

Spouse/Partner's Date of Birth:

Wedding Anniversary:

Spouse/Partner's Employer (Place of Employment):

Spouse/Partner's Occupation:

Spouse/Partner's Mobile Number:

Spouse/Partner's Work Number:

Spouse/Partner's Email:

Home Address (Address, City, State, Zip)

Partner: Employment): p/yr)?

Are you Interested in Renting a Boat Slip ($350 p/yr)?

We are a Social Club & Boat Ownership is not required to join. There is typically a waitlist for slip rental. Once membership & boat slip application are approved, you will be added to the waitlist.

Committee's I may be interested in joining (Check as many as you wish):

Name of DBC Members that I'm (or we are) acquainted with:

Comment or Message:

Thank you for your application! The application fee ($100) can be turned in or mailed to 15750 Boat Club Rd Danville IL 61834. Please join us for Member Only Dinner on Tuesday’s until your application is processed &/or our seasonal Thursday luncheon’s. We will get you added to our Monday email directory too. Once your application has been approved, you’ll be invoiced the prorated Membership fees & added to our monthly members only newsletter. Welcome! We are looking forward to meeting you soon!

Terms & Conditions Agreement

I consent to having the Danville Boat Club store my submitted information so they can respond to my inquiry.