Membership Application

Dues: $25 per couple or $15 per single.

 

Please print this application, and either mail it with a check or money order for your dues to us at:

Nautical Nudists Dive & Boating Club
PO Box 742
Land O Lakes  FL  34639-0742

You may also pay with PayPal but you MUST specify what the payment is for.

Name (1) _______________________________________________  Name (2) _______________________________________________

Email address (1) _______________________________________ Email Address (2) _______________________________________

Address __________________________________________________  City  ______________________ State ______________________

Home / Cell phone (1) ____________________________________  Home / Cell phone ___________________________________

Diving Qualification/s (1) __________________________________________ (2) ___________________________________________

Boating Qualification/s (1) _________________________________________ (2) ___________________________________________

Are You Willing to Serve on a Committee?  (1)  Yes    No     (2)   Yes    No

Do you Own a Boat/s?     Yes   No    Are you willing to be Photographed?      Yes   No

Emergency Notification Name ____________________________________________________________________________________

Address _________________________________________________ City ________________________ State ______________________

Phone Number _________________________________________________ Relationship ____________________________________

I/We agree to abide by the Club Constitution and By-Laws (Click here for the Club Constitution and By-Laws)

(1) _________________________________________________________ (2) ____________________________________________________

Dues: $25 per couple or $15 per single

PO Box 742, Land o' Lakes FL 34639-0742

Please be advised that you may encounter depictions of Nudity on our website.
 
If this offends you Click HERE.