SCBOA Membership Application

Name: E-mail:     Home Phone: Work Phone:     Address: Fax:         Business Name: Vessel Name:     Business Address: Vessel Model:   CFEC #:     CG#/Doc.#: USCG License: 6-Pac        Master       Resident of Alaska: Yes       No Membership: General       Associate         Business Address:   Annual Number of Charter Days: Full Time     Part Time (Part time = less than 30 days per year)       Additional Vessels Names: 1) Vessel CFEC #: 2) 3)         Brief summary of services offered:           I have read the SCBOA Bylaws and agree with the purpose of the organization: Yes       No