COBSCOOK BAY FISHERMEN'S ASSOCIATION
Membership Application
Name: _________________________________________________________________
Mailing Address: ________________________________________________________
Telephone: _____________________ Vessel Name: _______________________
Name(s) of sternman/tender/deckhand, if any:
(1)___________________________________________________
(2) __________________________________________________
Commercial Licenses Held:
License: __________________________________________ Number______________
License: __________________________________________ Number______________
License: __________________________________________ Number______________
License: __________________________________________ Number______________
License: __________________________________________ Number______________
License: __________________________________________ Number______________
I agree to acknowledge and abide by the rules of the Cobscook Bay Fishermen's Association.
Signature: __________________________________ Date________________________ Dues Paid: ______________ ____________________________________ (Treasurer)