Membership Application

To register online please complete the following form and submit. Our Vice President will contact you to complete your membership application.

* First Name:

* Last Name:

* Nick Name:

* Email Address:

If signing up as a couple

First Name:

Last Name:

Nick Name:

Email Address:

Mailing Address:



City:



State:



Zip:

Phone Number:

Tell us about yourself.

Annual Dues



Single Parrot Head .....$20.00

Mr. & Mrs. Parrot Head ..$30.00

Significant Others
(Anchored
in the same harbor)
...........$30.00

All memberships are for one
calendar year - starting at the first every year.
This contribution is not deductible as a charitable contribution for Federal incom tax purposes.


Please make checks

payable to:

Club Finz

P.O. Box 4555

Portsmouth, NH, 03802

Birth Day (s):
Favorite JB song:
Nickname(s):
Number of Tropical shirts you own:
Hobbies/

Volunteer Work:

captcha