Association burgee      Catalina 4 Series Association

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Member Application and Dues Payment

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Application Type *

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First Name(s) *

Last Name(s) *

Address *

City *

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Zip/Postal Code *

Country *

Email (Primary) *

Email (Alternate)

Telephone (Primary)

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Name of boat *

Boat Model *

Hull number

Marina

Marina City

Marina State/Province

Marina Country

Purchase Date

Purchase Type

New      Previously Owned

Keel

Wing     Fin

Berths

2            3

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