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LISCA Application for Membership Name: ______________________________ Address: ___________________________ Boat Name: ______________________ ___________________________ Catalina Boat Size - _______________ Home Phone: ( ) ______________ Hull (Sail) Number: _ _ _ _ Business Phone: ( ) _____________ Home Port - Marina ___________________ Cell Phone: ( ) _______________ Town ____________________ Fax Number: ( ) ____________ E-mail Address: _____________@_______________ Spouse's Name: _____________________ Children’s' Names and Ages (if cruising with you): _____________________________ Do you plan to participate in association activities at Hartford Boat Show? Yes No Maybe Do you plan to join the LISCA summer cruise (late July - early August) Yes No Maybe Are you interested in the LISCA regatta (late August) Yes No Maybe Are you a member of your one-design assoc.? Yes No You may also order a LISCA burgee for your vessel. Please include $30 with your dues. Please circle the appropriate dues
category and send a check (made out to Long Island Sound Catalina Association
or LISCA) for the appropriate membership dues. Add $30 for a LISCA burgee $______ Amount enclosed $ ________ Date mailed __________ Please mail to application and check
to: Sean McGuckin |