Annual LHYC Dues

Payment Form

Skipper First Name          Last Name 

Boat Name 

Email 

Please take this time to make a note of any personal information that may have to be updated for this coming year's roster: (address, email, phone numbers, boat names type rating, etc.), or make a note that you have send roster details by other means.

Annual Dues are $130.00 plus tax or $141.21

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Payment is due before year end 2011

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