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To: Applicant for Membership Thank you for your interest in the Keauhou-Kona Yacht Club. Attached are our application forms, which are to be submitted to the Membership Chairperson listed below: 1) Membership application: to be completed by applicant(s) 2) Attachment with sponsor’s comments: to be completed by a KKYC member. 3) Fees and Dues Statement: All applications must be accompanied by a check for annual dues and initiation fee as described below. Annual dues: currently $200 per person: (prorated as of the date of acceptance) Dues are payable on January 1st of every year. Initiation Fee: There are two options for payment: l) Regular Member: a one-time payment of $400 per person (due with application) 2) Annual Member: 5 annual payments of $100 per person (payable annually on month of acceptance) The Board of Directors of the Keauhou-Kona Yacht Club meets on the second Tuesday of each month at 3:00 PM. At that time all new member applications received by the Membership Chairperson will be presented to the Board for a first reading. The list of prospective members will be published in the club newsletter. At the subsequent Board meeting the Membership Chairperson will present applications for final board approval. Applicants may attend the club activities at the member rate during the waiting period (30-60 days). All members and guests are required to wear badges or nametags at club functions. Applicants please note: Kamehameha Investment Corporation (KIC) is the owner/landlord for the KKYC facility. The Yacht Club operates on a month-to-month lease and has been on this lease term for many years. It is possible that the Yacht Club facility could be reclaimed by KIC as a part of the neighborhood redesign. If the club is unable to find another facility, regular members in good standing will receive a prorated share of club assets. Membership Chairperson: Rodger Knoblauch Phone 808-325-0012
 Dated: ___________________________ KKYC MEMBERSHIP APPLICATION

PLEASE PRINT. Name of Applicant: ____________________________________ (Include nickname if any)
Name of Applicant Spouse: ___________________________________ (If applicable)
Primary Mailing Address: ____________________________________________ City ________________________
State _________________________Zip ___________
Phones: Residence: _______________ Business: ________________Cell: _________________ E-mail: ______________________________
Secondary Address: ______________________________________________________ City___________________________
State ______________________ Zip __________
Phones: Residence: _______________ Business: _________________ Cell: ________________
Are you a present or previous boat owner? __________________________________ (Boat ownership is not required for membership.)
Primary Recreational Interests: ___________________________________________ ______________________________________________________________________
Reason for applying for membership: ______________________________________ ________________________________________________________________________
KKYC Club Committee Interest (Check all that apply) (Social)_____(Rentals)____(Grounds)_____(Web Site)____ (1x Yearly Painting)_____ (Membership)_______(Finance)_____ (Party Set-Up)______(Golf)___________
I (we) hereby apply for membership in the Keauhou-Kona Yacht Club and do agree to uphold the purpose of the club and abide by its rules and regulations.
Applicant’s Signature _______________________________ Date _________________
Applicant Spouse’s Signature ____________________________ Date ______________
I recommend the above applicant(s) for KKYC membership Sponsor’s Name (print) ________________________________________
Sponsor’s Signature _____________________________________ Date _____________
Page 1 of 4 KKYC SPONSOR’S COMMENTS This page must be completed by the sponsor and attached to the membership application when submitted to the Membership Chairperson.
 PLEASE PRINT. Name of Applicant(s): ___________________________________________________
Name of KKYC sponsor: _________________________________________________
How long have you known the applicant(s)? ____________________________________
Please describe the nature of your relationship with the applicant(s) (business, social, personal, etc.) ________________________________________________________________________ ________________________________________________________________________
Reasons why you believe the applicant should be accepted as a member of the club: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________
Additional comments: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________
Signature of sponsor: _____________________________________________________ Date: _________________________________
Page 2 of 4

Keauhou-Kona Yacht Club Fees and Dues Statement
Name of Applicant(s): ________________________________________ Dues: For new member applications accepted on or after January 31st the annual dues are prorated for the balance of the first year. Your application will be presented at the next board meeting on the 2nd Tuesday of the month. It will be approved/rejected 30 days after the initial presentation at the following board meeting. This will be the month of your prospective membership. Action on applications requires up to 60 days. Fees will be refunded promptly upon rejection or withdrawal of the application prior to approval. The attached chart determines your prorated dues.
Month of initial Board submission: _____________________________ Total dues for applicant(s): $________________ Initiation Fee:
 Please check the option you chose below: ____1) Regular Member: a one-time payment of $400 per person: Total of one-time payment for applicant(s): $__________________ ____2) Annual Member: 5 annual payments of $100 per person: Total of annual payment for applicant(s): $__________________ Total of Dues and Fees enclosed: Total Dues: $______________________ Total Fees: $_______________________
 Total Enclosed: $_______________________
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FOR KKYC BOARD USE ONLY
 Date of Initial Presentation to Board: ______________ Date of 2nd Board meeting: ________________ Accepted ( ) Rejected ( ) Membership # Assigned: ___________________________ Certificate of Membership #: ________________________ Page 3 of 4