Passport Rewards Marina Visits

Passport Rewards Marina Visits
Is this a renewal or a new visit allocation
Year of initial membership
Name

First NameLast Name
Vessel Name
Email
example@example.com
Phone Number

Area CodePhone Number
Are you a long term Slipholder at an Albemarle Loop Marina
What LOOP Marina do you have long term dockage at
If you are renewing, please enter the member level and the marina (s) you are visiting this year.
If you are a slip holder a an Albemarle Loop Member Marina, Only 2 days will be credited to you for that marina.
Renewal Member Level
You will be notified by email on how and where you can redeem your rewards.
Loop marina visits
I certify that these entries are correct
Type signature
Please verify that you are human
To be filled our by Loop staff
Passport level attained
Name of Loop Staffer
Should be Empty: