Wianno Senior Class Association
Membership Form

Name____________________________________________

Summer Address_______________________________________________________

Summer Telephone_____________________________________

Winter Address________________________________________________________

Winter Telephone______________________________________

Email address(es)__________________________________________________

Hull number___________    Boat name__________________________

Home port___________________________

Annual dues are $10 (check payable to WSCA) and need to be sent to:

Kevin C. Cain.
Secretary - Wianno Senior Class Association
c/o Peabody & Arnold LLP
600 Atlantic Avenue
Boston, MA 02110