La Crosse Boat Club.com

Registration Form:

First Name of First Person on Contract*:

Last Name of First Person on Contract*:

First Name of Second Person on Contract:

Last Name of Second Person on Contract:

Address of First Person*:

City*:

State*:

Zip*:

Cell Number of First Person*:

Cell Number of Second Person:

Your Email Address*:

I want the following membership plan*:

I also want access to the 25 Passenger Party Boat.*:

	YES
	NO

I want the following number of reservations on the calendar at a time.*:

Comments*: