Apply For Membership

Pinnacle Yachts is now accepting applications for next season on a first-come basis. To enjoy the highest priority for entering the program, please complete the form below. We will contact you soon to discuss the program and answer any questions you may have.

Please be assured that Pinnacle treats all application information confidentially.

Applicant Information
First Name: *
Last Name: *
Street Address: *
Suite/Apt:
City: *
State: *
ZIP: *
Boat Type: * Power Sail
 
Months at Home Address: *
Do you own your home?  Yes      No
Home Phone:
Cellphone: *
Work Phone: *
Fax:
Email: *
Date of Birth: *
Occupation: *
Employer:
Citizenship Status:
Drivers Licence No.
 
Have you ever been convicted of a felony? *      Yes      No
Have you ever been convicted of an alcohol or drug related offense? *      Yes      No
Have you ever been in a boating accident?  *     Yes      No
 
 
Emergency Contacts
Name/Relationship/Phone:
Name/Relationship/Phone:
 
 
Boating Experience
Describe any power and sailboats you have owned:
Years Owned Maker/Size
 
Describe your boating experience as SKIPPER:
Years & Days Out Maker/Size & Waterway Sailed
 
Describe your boating experience as CREW:
Years & Days Out Maker/Size & Waterway Sailed
 
Describe any training courses completed:
Course/Certification Date
 
List yacht club or sailing organization memberships:
 
 
How and when did you hear about Pinnacle Yachts?
 
 
 
     I agree
 
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