MEMBERSHIP APPLICATION
ACTIVE CAPTAINS………………………………...........................................(Dues $80.00 per year)
To be an active Captain in the North Coast Charter Boat Association, your application along with your dues payment and a copy of your U.S.C.G. License (Front & Back).
NEW ACTIVE CAPTAINS MEMBERSHIP will require your application, dues and a pre-employment drug test at a fee of $67.00 as required by the N.C.C.B.A. by-laws.
FIRST MATE MEMBERSHIP
FIRST MATE MEMBERSHIP IN DRUG CONSORTIUM……………………(Dues $60.00 per year)
To be an active First Mate member in the N.C.C.B.A., your application along with your dues payment.
NEW FIRST MATE MEMBERS……..Will require a pre-employment drug test at a fee of $67.00 as required by the N.C.C.B.A. by-laws. Any person working as a First Mate shall abide to the rules and by-laws of N.C.C.B.A.
ASSOCIATE MEMBERSHIP
ASSOCIATE MEMBERSHIP NOT IN THE DRUG CONSORTIUM…………(Dues $30.00 per year)
Any individual wanting to assist in promoting the goals of this organization shall be eligible for membership as an Associate Member.
BUSINESS ASSOCIATE MEMBERS………………………………....................(Dues $50.00 per year)
Any Corporation or Business firm wanting to assist in promoting the goals of the organization shall be eligible for membership as a Business Associate Member.
Name___________________________________________________________________Date______/_____/______
Address___________________________________________________________Phone ( )__________________
City______________________________________________________________State__________Zip____________
Social Security No.________-_______-_________(For Drug Program) Other Program_________________________
Charter Business Name____________________________________________________________________________
Name of Vessel______________________________________ Boat I.D. #___________________________________
Docked at_________________________________________ Secondary___________________________________
Make & Model of Vessel__________________________________________Length_______Hard Top Yes___No____
E-mail_____________________________________Website (url)__________________________________________
Captain Sign for 1st Mate:______________________________________________________ Date: _______________
Make checks payable to: NORTH COAST CHARTER BOAT ASSOCIATION
Send to: P.O. Box 665, Grand River, Ohio 44045
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