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I/We
(Mr/Mrs/Ms)
________ (First)_________________
(Last
Name) _________________
Spouse (First)__________________ (Last Name) ________________________
hereby apply for Membership of the North Alabama Boaters Association
as a Regular Member.
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I/We
agree to be bound by and comply with the Policies, Regulations,
Constitution and Bylaws of the NABA and I/We understand and accept
that failure to comply with them may result in my NABA Membership
being suspended or withdrawn. I/We further understand that acceptance of this Application (Regular
Membership only) entitles me to speak and vote at NABA General
Meetings.
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| Signed
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_______________________________ |
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Date
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____________________ |
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| Signed
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_______________________________ |
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Date
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____________________ |
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| Street
Address: |
__________________________________________________________ |
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| City
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__________
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State
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Zip____________ |
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| Telephone
: |
(Home) |
__________________ |
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(Work) |
____________________ |
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| e-mail
(Optional) |
________________________________________ |
Fax
:
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| I/We
enclose a total Membership Fee of $30.00 per adult member.
________________ |
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| Additional
Information |
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Child
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_______________________________ |
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(Full
Name)
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Date
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_____________________ |
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Child
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_______________________________ |
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(Full
Name)
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Date
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_____________________ |
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Child
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_______________________________ |
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(Full
Name)
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Date
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_____________________ |
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Child
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_______________________________ |
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(Full
Name)
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Date
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_____________________ |
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| Vessel
Information: |
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| Make______________________ Model ___________________ Year __________________ |
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| Name
_________________________________ |
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Mooring
____________________________ |
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| DATA
PROTECTION ACT |
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I
DO / DO NOT wish details of my Membership included
in any Lists distributed to persons outside of the North Alabama
Boaters Association. Circle your choice.
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I
DO / DO NOT wish my e-mail address included
in any Lists distributed to persons outside of the North Alabama
Boaters Association. Circle your choice.
Mail
completed application with check or money order payable to "NABA":
NABA
- DITTO LANDING CHAPTER, INC.
P.O. BOX 14291
HUNTSVILLE, ALABAMA 35815
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