Captain's name: * |
Last, First please
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First mate:
(If sailing with you. Typically spouse or significant other)
|
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Other crew members:
(First names ok) |
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Mailing address * |
Address:
City, State, Zip:
, ,
Country if not USA:
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| Extra privacy: For your address: show only city, state and zip in the members-only sec tion. Do not show your telephone number. Your Cell phone will be displayed ONLY in the members-only directory. |
check = show only city,state & zip |
Email address: * |
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Email address: *
Again, as a double check |
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Additional email addresses:
(Used if you want our broadcast email to
go to more than one address. Separate more than one address by
commas) |
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| Telephone: |
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| Cell Phone: |
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Personal website: (if sail related)
www.... |
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| Describe your sailing interests: |
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Comments to webmaster:
Any questions, suggestions, or other comments? (This just goes to club officials) |
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Boat name: |
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Boat make: |
Choose from list:
Not on list? Add yours here:
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Boat model: |
Choose from list:
Not on list? Add yours here:
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Boat year: |
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