YACHT CLUBS OF MARYLAND

Directory Information form

Please print, complete, and submit the following form to:

R/C Lou Konopacki, 123 Bayside Drive, Baltimore, MD 21222 - (410) 282-5598

 Please provide the following for the person submitting this form for the member club:

• Name:  ___________________________________________________________
• Address:  _________________________________________________________

• City/State/Zip code:  ________________________________________________
• Phone Number:  ____________________________________________________
• E-mail address:  ____________________________________________________

Provide the following for your club:

• Name of Club:  ____________________________________________________
• Address of Club:  __________________________________________________

• City/State/Zip code:  ________________________________________________
• Phone number of club:  ______________________________________________
• Directions to Club by Land:  __________________________________________

___________________________________________________________________

___________________________________________________________________                                              

• Directions to club by boat:  _____________________________________________

___________________________________________________________________

___________________________________________________________________                                             

            ___________________________________________________________________

Provide the following information for the Commodore:

Name:   _____________________________________________________

Address:  ___________________________________________________

                 ___________________________________________________

Phone:    __________________________(Home)

               __________________________(Cell)

               __________________________(Work)

Email: (1)__________________________________________________

            (2)__________________________________________________

Provide the following information for the Vice Commodore:

Name:   ____________________________________________________

Address:  ___________________________________________________

                 ___________________________________________________

Phone:    __________________________(Home)

               __________________________(Cell)

               __________________________(Work)

Email: (1)__________________________________________________

            (2)__________________________________________________

Provide the following Information for the Rear Commodore:

Name:   ____________________________________________________

Address:  ___________________________________________________

                 ___________________________________________________

Phone:    __________________________(Home)

               __________________________(Cell)

               __________________________(Work)

Email: (1)__________________________________________________

            (2)__________________________________________________

Provide the following Information for the Fleet Captain:

Name:   _____________________________________________________

Address:  ___________________________________________________

                 ___________________________________________________

Phone:    __________________________(Home)

               __________________________(Cell)

               __________________________(Work)

Email: (1)__________________________________________________

            (2)__________________________________________________

Provide the following information for the Secretary:

Name:   ____________________________________________________

Address:  ___________________________________________________

                 ___________________________________________________

Phone:    __________________________(Home)

               __________________________(Cell)

               __________________________(Work)

Email: (1)__________________________________________________

            (2)__________________________________________________ 

Provide the following information for the Treasurer:

Name:   ____________________________________________________

Address:  ___________________________________________________

                 ___________________________________________________

Phone:    __________________________(Home)

               __________________________(Cell)

               __________________________(Work)

Email: (1)__________________________________________________

            (2)__________________________________________________ 

Provide the following information for the YCM alternate representative:

Name:   _____________________________________________________

Address:  ___________________________________________________

                 ___________________________________________________

Phone:    __________________________(Home)

               __________________________(Cell)

               __________________________(Work)

Email: (1)__________________________________________________

            (2)__________________________________________________ 

Provide the name of the Princess for 2005:

Name:   _____________________________________________________

Address:  ___________________________________________________

                 ___________________________________________________

Phone:    __________________________(Home)

               __________________________(Cell)

               __________________________(Work)

Email: (1)__________________________________________________

            (2)__________________________________________________ 

Please provide the following information for Opening Day in 2006:

·        Date:  ________________________________________________

·        Time of Opening Ceremony:  ____________________

·        Location of Ceremony:  _________________________________________

·        Date of any opening Dinner/Dance for 2006:  ____________________

·        Time of any opening Dinner/Dance:  _________________________

·        Name of Contact at your club regarding 2006 Opening events:

o       Name:  ________________________________________

o       Phone Number:  _____________________________

Provide the following regarding the next Commodores Ball:

·    Date:  ________________________________

·    Time:  ______________________________________

·        Location:  ___________________________________________

·        Name of Contact:  ____________________________________

·        Phone Number of Contact:  _______________________

Provide other events that you want publicized for 2005:

·        Name of Event: ___________________________________

·        Date:  ________________________________

·        Time:  ______________________________________

·        Location:  ___________________________________________

·        Name of Contact:  ____________________________________

·        Phone Number of Contact:  _______________________

·              Name of Event:  ____________________________________

·              Date:  ________________________________________

·           Time:  ______________________________________

·            Location:  _______________________________________

·              Name of Contact:  ____________________________________

·              Phone Number of Contact:  _______________________________

·              Name of Event:  ____________________________________

·              Date:  ________________________________________

·           Time:  ______________________________________

·            Location:  _______________________________________

·              Name of Contact:  ____________________________________

·              Phone Number of Contact:  _______________________________

·              Name of Event:  ____________________________________

·              Date:  ________________________________________

·           Time:  ______________________________________

·            Location:  _______________________________________

·              Name of Contact:  ____________________________________

·              Phone Number of Contact:  _______________________________

·              Name of Event:  ____________________________________

·              Date:  ________________________________________

·           Time:  ______________________________________

·            Location:  _______________________________________

·              Name of Contact:  ____________________________________

·              Phone Number of Contact:  _______________________________

·              Name of Event:  ____________________________________

·              Date:  ________________________________________

·           Time:  ______________________________________

·            Location:  _______________________________________

·              Name of Contact:  ____________________________________

·              Phone Number of Contact:  _______________________________ 

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