Southern Cross/Gillmer
Owner Association (SCOA)

Membership Application


In order to assist us in responding to your inquiries, we would like you to provide us with the information
in the form below. Please print this form out and mail it with your dues to the

Treasurer/Secretary, Steve Bliven
49 Plains Field Drive, South Dartmouth MA 02748

Phone:
Email: steve.bliven@comcast.net
SC-31 Hull #114 Quest


For more information email  SCOA Commodore Jack Walsh John.Walsh21@verizon.net

 

We do welcome non-Ryder boat members! 

Year ________   New_______    Renewal _________________________

Name ______________________________________________________

Address ____________________________________________________

City ______________________  State ________   Zip _______________

Home Phone ________________Work Phone ______________________

Email ________________________________

Home/Hailing Port:__________________________________Moored_________________________

 

Southern Cross ______ Gillmer ___1 ___2 ___3 ___4 Length  ____39   ____35  ____ 31 ____28  

Hull #_________Boat Name _________________________ Former Boat Name:________________ 

Hull Identification Number (This is stamped into the hull on the starboard stern area just below the rubrail.
It begins with the letters CER followed by a series of letters and numbers.
It may also be on your ownership, boat loan or insurance papers.) ______________________________

Rig: cutter/sloop________ Factory or Owner Finish:________________________________________

Previously Owned _________________________________________________________________  

Previous Owner ___________________________________________________________________

Significant Cruises__________________________________________________________________

________________________________________________________________________________

Planned Cruises ____________________________________________________________________

Radio Call-Amateur/Commercial _______________________________________________________
 

Annual Membership and renewal fees are $25.00 ($30 first year).

Please make checks payable to SCOA and send to

Treasurer/Secretary, Steve Bliven
49 Plains Field Drive, South Dartmouth MA 02748

Phone:
Email: steve.bliven@comcast.net
SC-31 Hull #114 Quest

Our Annual Meeting is held during the winter months, usually February or March.

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