CCCBA Membership Application - Cape Cod Charter Boat Association

Name

First

Last

ADDRESS"

City / State / Zip Code

Confirm Email

Phone Number

Business Contact Number

Captains License Number

* Note – Please attach a photocopy of your U.S.C.G. License {Pages 4 & 5 for Book Type}

Expiration Date:

Membership Type

There are 3 types of Members; 1. Regular Member – 6-Pack or Party Boat Captain 2. Retired Captain 3. Associate / Mate

Boat Name:

Harbor:

Town:

Number by Website:

Your Website:

We will include your Charter and Website in our Captain’s Directory.

Recommended By:

Date Accepted: (To be filled in by CCCBA)

Membership fees will be due at your first meeting. $60 for regular membership, $35 for retired captain or associate membership. Please make your check payable to CCCBA. Photocopies of license required for those seeking regular or party boat membership. Application will be presented at the next regularly scheduled meeting. Applicant must be present to have application presented for a vote.