C400/445 IA Catalina 400/445 International Association

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Association Members Member Application

Member Application and Dues Payment

Fill out and submit this form. After you click submit, you will go to the secure online payment page.

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 (Cell):

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: