Short Form
Please fill out as much information as possible as accurately as possible.
Yacht Club Name: (Required Input)
Year Club Organized:
Club GPS Coordinate: Lat: Long:
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Submitter Information:
Full Name: Job Title: Email: Phone:
Yacht Club Information:
Yacht Club NAME: Yacht Club MAILING Address: Yacht Club CITY: Yacht Club State or Country: Yacht Club ZIP: Yacht Club PHYSICAL Address: (if different than above mailing address) Yacht Club PHONE Number: Yacht Club FAX Number: Yacht Club WEBSITE Address: Name of BODY OF WATER that the Yacht Club is located on:
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