CKF APPLICATION OR RENEWAL Date ____________ Is this a renewal? Yes ___ No ___ If yes, Member Number ___________________ Name __________________________________________________________________ Address __________________________________________________________________ City ________________________________________ State ______ Zip __________ Home Phone ( _____ ) ___________________ Work ( _____ ) __________________ Email __________________________________ Fax ( _____ ) ___________________ Current Member - Is this a change of: address? ___ phone? ____ email? _____ Yearly Membership ($20 per household, prorate info below).... _____________ CKF Oval Decals @ $2.00 ea................................... _____________ Total........................................................ _____________ Make check payable to: CKF So that CKF coordinators and members may welcome you...may we have your permission to print your phone number in our annual Membership Directory? Yes _____ No _____ Signed ________________________________________________ Send the Membership Form to: California Kayak Friends 37 La Encina Newbury Park, CA 91320 ----------------------------- NEW MEMBERS ONLY ----------------------------- Indicate boats owned: Sea Kayak, WW, Sit-on-top, Surf/Wave Ski, Canoe, Inflatable, Folding, still shopping, other _______________________________________________ How did you hear about CKF? ______________________________________________ So that other members may contact you, may we print your phone number in the club roster? Yes ___ No ___ Signed _____________________________________________ --------------------------- GIFT MEMBERSHIPS ONLY ------------------------- Name of the Gift Giver ____________________________________________________ Message and/or Special Instructions _______________________________________ ____________________________________________________________________ ____________________________________________________________________ CKF dues are now prorated, we calculate this as $20 for 12 months ($1.66 per month) from June 1st to May 31st of the following year. So as an example, August through May 31 is 10 months @ $1.66 per month which equals $16.60.