Dam Yankees Chapter - Membership Application/title> </head> <body> <blockquote> <center> <table border=0> <tr><td><img src="clip_image002.jpg"> <br><center><font size=-1>New England Chapter of <br>Bounders United, Inc. Bounders Of America Inc.</font></center> </td> <td width=40> </td> <td valign=bottom> <table border=1> <tr><td><center><u>OFFICE USE ONLY</u></center> <p> FILE# <p> DATE: </td></tr> </table> </tr></td> </table> <p> </center> <p> <center> <font size=+1><b>MEMBERSHIP APPLICATI0N</b></font> </center> <p> NAME, Pilot_____________________________________________________________ <p> NAME, Co-Pilot_________________________________________________________________ <p> ADDRESS___________________________________________________ PHONE_______________ <p>CITY_________________________ STATE____________ ZIP________________ <p>BU#__________BOA#_________ BIRTHDAYS:</td> PILOT_____________ CO-PILOT____________</td></tr> <p> ANNIVERSARY DATE___________________</td></tr> <p>BOUNDER DATA: </td></tr> <p>YEAR________ LENGTH_________ MODEL____________</td> STATE_______ REG.#______________</td></tr> </table> <p> CURRENT AND CONTINUED MEMBERSHIP IN BOUNDERS UNITED, INC. AND/OR BOUNDERS OF AMERICA, INC. IS A PREREQUISITE TO BECOMING A MEMBER OF THE DAM YANKEES CHAPTER <p> DUES: NEW MEMBERS PAY A ONE-TIME INITIATION FEE OF $5.00 PLUS FIRST YEAR'S DUES OF $5.00. RENEWAL DUES ARE $5.00 PER YEAR FROM DATE JOINED <p> Signatures <br> Pilot- <p> Co-Pilot <p> Date <p> PLEASE INCLUDE E-MAIL AND/OR WINTER ADDRESS IF YOU HAVE ONE <p> MAKE CHECK PAYABLE TO "DAMYANKEES" AND FORWARD TO CHAPTER SECRETARY. <p> DAM YANKEES SECRETARY <br>George Pippin <br>48 Schofield Rd <br>Willington CT 06279