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Category:
Membership Application
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Applicant's Name
*
First
Last
What you like to be called (for name tag, etc.)
Co-Applicant's Name (if applicable)
First
Last
What you like to be called
Residence Address
Mailing Address (if different)
Home Phone #
Applicant's Mobile #
Co-Applicant's Mobile #
Applicant's Email Address:
*
Co-Applcant's Email Address:
Prior Location (City & State)
Business/Professional Highlights - We would like to know all you would like us to know about you.
Boat Name & Type (Trawler/Cruiser/Pontoon/Sail...)
Boat Length/Beam/Draft
Applicant's Birthday
Co-Applicant's Birthday
Wedding Anniversary (if applicable)
Your Interests
Boating
Bridge
Social Events
Travel
Dancing
Other (please list below)
Other interests
SUBMIT
Membership Application
Posted on
April 27, 2025
April 27, 2025
by
pcycsite
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