Association burgee      Catalina 4 Series Association

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Member Application and Dues Payment

Please fill out and submit this form. (* indicates a required field.)


Application Type *

Payment Method *

First Name(s) *

Last Name(s) *

Address *

City *

State/Province *

Zip/Postal Code *

Country *

Email (Primary) *

Email (Alternate)

Telephone (Primary)

Telephone (Alternate)

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

Comments

After you submit this information, please mail your check for $25 payable to the Catalina 4 Series Association to:
    Catalina 4 Series Association
    212 W. Ironwood Drive, #D612
    Coeur d’Alene, ID 83814