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.