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FERNANDINA PIRATES CLUB, INC. Application for Membership
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FERNANDINA PIRATES CLUB, INC. Application for Membership
FERNANDINA PIRATES CLUB, INC. Application for Membership
FERNANDINA PIRATES CLUB, INC.
Name:
Date of Birth:
Cell Phone
Home Phone
Email
Current Address
City
State
Zip Code
Current Employer
Position?
How Long?
Phone
Email
Employer Address
City
State
Zip Code
Name of a relative not residing with you:
Address
City
State
Zip Code
Phone
Relationship
Name:
Date of Birth:
Phone:
Sponsoring Pirate Name:
I authorize the Fernandina Pirates Club, Inc. ("Club") to have background check performed on me and agree to read the Bylaws and Policies and Procedures of the Club. PLEASE TYPE IN YOUR NAME FOR SIGNATURE
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Fernandina Pirates Club
About
Local Pirate History
Awards
How to Be a Pirate
Recent posts
Fun Fact Fridays
Community Partnerships
Event Calendar
Pirate Scholarships
Pirates 4 Hire
Galleries
2023
2022
2021
2020
2019
Archived Galleries
Current Pirates
How to be a Pirate
Rules and Regulations
In Memory
Contact Us
Members Only
