Shoreline Yacht Club * 386 Shoreline Drive South * Long Beach, CA. 90802 * USA * Phone (562) 435-4093 * Fax. (562) 432-2544
Preliminary Membership Application
Name:
Email:
Spouse/Significant Other:
Home Phone:
Business Phone:
Address:
Address (Line 2):
City, State, Zip:
,
Marina:
Slip:
Live Aboard?
Boat Phone:
Boat Make:
Boat Name:
Boat Length:
Power or Sail:
Power
Sail
Comments:
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