In accordance with the bylaws of Washington Irving Boat Club, Inc. (hereafter known as “The Club”) I apply for “B” membership in the club. I do so with the understanding that as a “B” member I will be entitled to reasonable use of club facilities to accommodate the boat described herein. I will not be entitled to voting privileges or subject to work details. In support of my application I furnish the following information and make the following representation. (Please print legibly)