Submit Your Member Application Online

Complete the application form below and submit your payment to get started. Once we receive your submission and payment, we�ll reach out with the next steps.

Applicant First Name

Applicant Last Name

Applicant Phone

Applicant Email

Employer

Position

Summer Address

Winter Address

Family Information

Spouse/Partner Name

Spouse/Partner Phone

Spouse/Partner Email

(Children living with you and under 21 or attending school full time)

First Child's Name

First Child's DOB

Second Child's Name

Second Child's DOB

Third Child's Name

Third Child's DOB

If possible, please provide a recent photograph of yourself/family . This will help with introductions and recognition of all new members

Photo
(png, jpg, jpeg, gif only)

Memberships

Regular Membership (Age 31 & up): One time initiation fee: $500 + Annual Dues: $450 = $950
Junior Membership (Under 31 years of age): One time initiation fee: waived + Annual Dues: $450 = $450

Class of Membership you are seeking
(select all that apply)

Regular

Junior

Payment Options

Please indicate which payment method you will be using:

(select all that apply)

Use Zelle to remit funds to: [email protected]

Mail a check to: PPLYC P.O. BOX 44 COLOMA, MI 49038

Volunteering at the Club

Checking options below does not commit you to anything directly, but it is important to note that this is a volunteer-based club, relying on its members to help it thrive.

Which of the following might you be interested in
(select all that apply)

Building/Grounds Maintenance

Membership

Ship�s Store(merchandise)

Entertainment

Hosting Parties

Club Officers

PPLYC Board of Directors

Triathlon

Boat Slip

Are you interested in a boat slip at PPLYC?

Yes

Authorization

In signing this application, the applicant & family members agree to abide by the rules and by-laws of the Paw Paw Lake Yacht Club and to be responsible for prompt payment for all goods and services. As a member you are expected to support and engage in club events to aid in the success and vibrancy of PPLYC. Applicant understands that the initiation fee and membership dues are due in full at the receipt of this application.

Authorization "Signature"

Authorization Date

Additional Information

Comments

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