Member Application Form

Thank you for your interest in the Dataw Island Yacht Club. Only Dataw Island Club members will be considered for DIYC membership.

Primary First Name

Primary Last Name

Primary Email

DIC Member Number

Spouse/Partner First Name

Spouse/Partner Last Name

Spouse Email

Dataw Address

Alternate Address

Home Phone

Preferred Phone - Primary Contact

Preferred Phone for the Secondary Member

Own a Boat

Yes No

If you check Yes, please fill out the following information.

Make of Boat

Length of Boat

Name of Boat

Type of Boat

If Other Boat

Location of Boat

@2017-2024 Dataw Island Yacht Club

43 Marina Dr
St Helena Island, SC 29920

Saturday December 21, 2024 9:03 am (America / New York) 18.224.68.61 production3