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Status
Captain: First Name
Captain: Last Name
First Mate: First Name
First Mate: Last Name
Street
City
St Zip
Captain
First Mate
Home Phone
Cell Phone Home Phone
Cell Phone
Captain: Email Address
First Mate Email Address
Boat Name
Boat Make
Boat Model
Boat Length
Marina
Slip
Power Requirements
Other Power
I want my boat Christened
Who will be your sponsor(s)
Method of Payment
Make
your check out to:
KCYC for $100.00
Mail your check to :
Larry Fautch
554 Pine Ridge Court
Prescott, WI 54021
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