Lighted Yacht Parade
Skipper Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Type of vessel
*
Please Select
Sail
Power
SUP
Kayak
Other
Name of boat
Vessel length
*
Marina name
Organization (Yacht Club, Associations, etc)
Description (Decorating theme, boat history, any descriptive information you would like the Commodore to announce as you go by)
*
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*
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Lighted Yacht Parade Fee
*
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next
( X )
Registration Fee
$
40.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
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