Your Name:
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______________________________________________________________________
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Name of Business:
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______________________________________________________________________
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Business Address:
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______________________________________________________________________
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City:_________________________
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State:
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_____
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Zip:
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_______
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Phone:_____________________ Fax:_____________________
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Website:_____________________ Email address:_____________________
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Class of Membership Desired:
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Brokerage Business
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___
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Broker
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___
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Associate
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___
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Briefly state your reason for desiring membership in GCYBA:
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________________________________________________________________________________
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________________________________________________________________________________
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Recent marine employment history, including positions held:
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________________________________________________________________________________
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________________________________________________________________________________
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Business references (2) including telephone numbers:
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_____________________________________________
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Phone:
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_______________
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_____________________________________________
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Phone:
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_______________
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Sponsored by two active members:
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Signature
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____________________
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Signature
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____________________
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If elected to membership in the Gulf Coast Yacht Brokers Association,
I agree to abide by and conform to the Constitution, By Laws and policies of the Association.
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Dates:
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__________
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Applicant's Signature:
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_______________________
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1 year $75 (Broker)
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1 year $150 (House/Brokerage)
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House must include pictures of location.
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1 year $150 (Associate)
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Enclosed Check No.
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__________
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Mail to: Gulf Coast Brokers Association, PO. Box 263, Seabrook, Texas 77586
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