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Paddling Partner Membership

Complete this form, print it then send it (along with your check for $29.95) to or bring it to:
Paddle Shack
5045 Rt. 559
Mays Landing, New Jersey 08330

Please provide the following information:     * Required Information

*First Name: *Last Name:
*Address: *Address:
*City: *State: *Zip Code:
Telephone:
E-Mail:

        Optional Information:

 
     
Would you like to receive the news letter via mail?  Select T-shirt size:
 
What activities do you like? Kayaking Canoeing Camping Diving
Bird/Nature Watching Hunting Fishing
 
What equipment do you own? Kayak Canoe Personal Floatation Device (PFD)
Paddles Paddle Jacket Paddle Float Wet/Dry Suit
Boat Tote Bilge Pump Spray Skirt
 
What equipment do you rent? Kayak Canoe Personal Floatation Device (PFD)
Paddles Paddle Jacket Paddle Float Wet/Dry Suit
Boat Tote Bilge Pump Spray Skirt
 
How often do you rent equipment?

 
   
What is your favorite type of paddling?

What is your favorite season to paddle?
Summer Fall Winter Spring All Year
   

Would you like to take lessons for? How would you rate yourself?

 
Do you have any family members who enjoy paddling?
Name & Age:
First Name: Last Name: Age:

First Name: Last Name: Age:

First Name: Last Name: Age:

What type of paddling do you &/or they enjoy?
Recreational-Canoe Whitewater-Canoe
Recreational-Kayak White Water- Kayak
Touring-Canoe Touring-Kayak
Wave/Surf Ski Surf/Ocean-Kayak

 
Delivery Option:
 
  Paddling Partner Program