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FVOA Application
Buyer Membership Application:

THE FISH EXCHANGE
operated by
Fishing Vessel Owners' Association

Room 232, West Wall Bldg.
4005 - 20th Ave. West
Seattle, WA 98199-1290
(206) 284-4720/283-7735
http://www.fvoa.org

Please Print this Page, Fill out the Information Completely
and Mail to FVOA at the above address.

    Company Name:______________________________________________
    Date:_______________________________________________________ 
    Contact Person:_______________________________________________
    Phone:______________________________________________________ 
    Mailing Address:_______________________________________________
    Fax:_________________________________________________________ 
    E-mail:_______________________________________________________ 
    Street Address:(If different than "mailing")_____________________________

    Business Style: +--+Sole Proprietorship +--+Partnership +--+Corporation
    Owner Name (s): __________________________________________
    Position: ________________________________________________
    (and or Officer (s):) Position:_________________________________

    Date Incorporated:__________________________________________
    Location: _________________________________________________

    Person(s) Authorized to Represent Your Firm at Exchange Sales:_________________________________________________ 

    Trade & Credit References: (At least on bank reference.)
    Business,  Person to Contact/Title,  Phone

    1._________________________________________________
    2._________________________________________________
    3._________________________________________________
    4._________________________________________________

    Attach a copy of your most recent financial statements, SIGNED by a COMPANY OFFICER.

    _______________________________________________________________
    SIGNATURE, TITLE
    ________________________________
    DATE

    Exchange Rules and Annual Membership Fee billing will follow upon approval as an "Exchange Member".