Membership Application
To apply for membership please complete all questions. If you prefer to mail your application, the applications can be download from our website - https://www.easternlakeeriecharters.com/.
Membership Type
*
Please Select
Captain
Mate
Associate
Business
Business Captain (only for Business Memberships)
Applicant's Business Name
*
Applicant Name
*
First Name
Last Name
Last 4 of Applicants SS#
*
Charter/Guide Service Name
*
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
E-mail
*
example@example.com -- You cannot use the same email address for more than one application. Every application must have a unique email address.
Applicant Cell Phone
*
Business Phone
*
Website
Captain's Licenses Expiration Date
*
-
Month
-
Day
Year
Date
Captain's License Reference Number
*
Add Photo of Captain's License
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Liability Insurance $
*
Upload Proof of Insurance
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Boat Year Built
*
Boat Length
*
Boat Manufactuer
*
Vessel Documentation or Registration Number
*
This is not your hull number. It is your state registration number or vessel documentation number.
Uninspected Vessel Inspection?
Yes
No
Signature
*
Signature date
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Captain - 2024 Membership
Active membership in this organization shall be limited to those persons who are duly licensed to operate a charter boat for hire on The Great Lakes or Inland Waters of the United States of America. Captain must hold a valid USCG License and have adequate liability insurance. Vessels must meet and pass the requirements of uninspected Charter boats for USCG CME decal; and must be in compliance with the applicable Code of Federal Regulations administered by the USCG Marine Safety Office. You may run for or hold office in ELECBA and get two votes for all purposes. You will be listed in the Captains Directory on the ELECBA website. As an active member you may attend any general membership meetings and events as well as and bring forth or present issues. You may also chair or serve on committees. Active members agree to participate in the ELECBA drug test consortium.
$
90.00
Renewal or New?
Renewal
New with Pre-Employment Screeing
New without Pre-Employment Screening
Mate - 2024 Membership
Active membership in this organization shall be limited to those persons who work on a charter boat for hire on The Great Lakes or Inland Waters of the United States of America. You must be sponsored by an active Captain. You must comply with all USCG requirements for your position on a vessel for hire. You may attend general membership meetings and events as well as bring forth or present issues. As an active member you have voting rights, as one vote, and can be elected to the board of directors. Active members agree to participate in the ELECBA drug test consortium.
$
45.00
Renewal or New?
Renewal
New with Pre-Employment Screening
New without Pre-Employment Screening
Associate - 2024 Membership
Individuals, who by the nature of their activities, compliment the membership and the intended purpose of ELECBA. You may attend general membership meetings and events as well as bring forth or present issues. You may not cast a vote.
$
25.00
Business - 2024 Membership
Business membership are required for entities that employ 2 or more captains and/or more than 3 mates. Included in the dues are memberships for up to 2 captains and up to 3 mates and an administrative fee. Additional captains can be added at $90 each and additional mates for $45 each. Once a membership application is accepted for an employee, they remain in one of the slots for the remainder of the calendar year. Individual Captain/Mate applications are required to be submitted in addition to this application. Pre-employment testing (if required) is $50 per employee. Pre-employment testing fees are non-refundable.
$
450.00
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
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