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FVOA Application |
MEMBERSHIP APPLICATION Representing Fishermen from Alaska to California Room 232, West Wall Bldg. |
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out the Information Completely,
Enclose Check and Mail to FVOA at the above address. OR print out PDF version (printer friendly) click here VESSEL NAME:_________________________________________________ Application Date:__________________________________ IFQ/Owner's Name:_______________________________________________ Vessel Home Port:__________________________________ Skipper's Name (if other than owner):____________________________ Channel & Radio Call Ltr:__________________________________ Owner's Permanent Mail Address:_________________________________________________ Phone & Cell Numbers:______________________________ City, State, Zip: ___________________________________ Fax Number:___________________________________ E-mail Address:___________________________________ If Corporation Contact Person:_______________________________________________ Phone:_____________________________________
For Social Events:
TYPE OF MEMBERSHIP: (CHECK ONE) [ ] ACTIVE MEMBER - "ICE" VESSEL $3000.00/YEAR plus poundage assessment [ ] ACTIVE MEMBER - IFQ HOLDER $550.00/YEAR plus poundage assessment [ ] ACTIVE MEMBER - 'FREEZER" PROCESSOR $3300.00/YEAR [ ] ASSOCIATE MEMBER $625.00/YEAR - No assessments [ ] SUSTAINING SPONSOR $300.00/YEAR - No assessments _______________________________________________________________
MAKE CHECK PAYABLE TO: FISHING VESSEL OWNERS' ASSN. Enclose Check and Mail to : For Office Use Only: MCF____________ DB____________ DDD____________ NWL____________ | ||