Date:________________

Name:______________________________________________________________

Spouse:_____________________________________________________________

Address:____________________________________________________________

City:_____________________________________ State:______ Zip:____________

Home Phone:________________________ Work Phone:______________________

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Boat Type:________________________________ Length:______ Sail #__________

Boat Name:__________________________________________________________

Are You Available For Crew?________                 Sailing Experience ________yrs

Sail Interests: Cruising _________________________ Racing _________________

Skills I have that could help FOMA ______________________________________

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