Southern Cross/Gillmer Owner Association (SCOA)
Welcome Aboard - New Membership Application
Joining SCOA is easy. Just fill out this form, make a check payable to SCOA and send it to our
Secretary/Treasurer at the address below. Dont worry if all the info is complete. They will provide you
a new member packet which includes the latest newsletter and member directory along with the
details on how to access the members web site and more. To speed things up you may want to send
an email indicating your interest first as we might be out sailing !
If you have any questions about joining SCOA drop an email to the Commodore too.
Welcome Aboard.
Secretary/Treasurer;
Brian D. Herr
Attn: SCOA
1 Park Lane Unit 1801
Boston, MA 02210
BrianDHerr@verizon.net
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
Please make checks payable to SCOA
Our Annual Meeting is held during the winter months, usually February