NATIONAL POWERBOAT
ASSOCIATION

MEMBERSHIP FORM

You can fill this from out online and print and send it with check

N.P.B.A., 30 Morgan Ave., Greenwich,CT 06831
Tel/Fax: (203) 532-1312
Name
Address:
Phone:
Day: Eve:
Fax:
E-mail:
Age: (You must be 18 years old . . plus)
Where did you hear about this event
Make of Boat
L.O.A. YR.
Name of Boat:
Color
Registration No.
No. of Engines:
Hull Made of:
Home Port:
Engine Make:
Horsepower:
Cubic Inches:
Outdrive:
Exhaust System
Ratio:
 Props:
Cruising Speed
Top Speed Size & Pitch
Membership Dues $19.95
PAYMENT IS REQUIRED IN FULL FOR ASSOCIATION ACCEPTANCE

Signature:_________________________________________________________ Date:_______________________

Make checks payable to: The National Powerboat Association,
Mail to: 30 Morgan Avenue, Greenwich, CT 06831-4940

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