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Member Application and Dues Payment

Fill out and submit this form and mail your check for $27.50 payable to the Catalina 4 Series Association to:
    Catalina 4 Series Association
    P.O. Box 4003
    Roanoke, VA 24015

 

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

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