Sample Form

COBSCOOK BAY FISHERMEN'S ASSOCIATION

Dedicated to the conservation, enhancement, and sustainable use of the marine resources of Cobscook Bay.

Membership Application

Name: _________________________________________________________________

Mailing Address: ________________________________________________________

Telephone: _____________________ Vessel Name: _______________________

Name(s) of sternman/tender/deckhand, if any:

(1)___________________________________________________

(2) __________________________________________________

Commercial Licenses Held:

License: __________________________________________ Number______________

I agree to acknowledge and abide by the rules of the Cobscook Bay Fishermen's Association.

Signature: __________________________________ Date________________________

Dues Paid: ______________ ____________________________________ (Treasurer)