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 *

 New   Renew

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
    23 Plumrose Court
    Portland, CT 06480-4628