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:


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