Submit your Check for membership dues and the FOMC Application to: Friends of the Marine Community C/o Bob Rose 111 Pfingston Road Suite 300 Deerfield, IL 60015 e-mail APPLICATION Date: // First name: Last Name: Address: City: State: Zip: Phone: Work Phone: Fax: Work Fax: e-mail: Company Name(if applicable): Harbor: Slip No.: Boat Name: Make: Model: Length: Membership Classification and Annual Fee Individual $20.00 Boat Owner Fisherperson Crew Scuba Diver Friend Water Skier Other: General Business $30.00 Manufacturer Hospitality Caterer/Restaurant Merchant Other: Marine Trade $50.00 Boat Yard Service Charter Operator Ship Store Other: Other Corporate Sponsor - Donation $ FOMC will bill you when application is received via E-mail Click here after submitting
Submit your Check for membership dues and the FOMC Application to: Friends of the Marine Community C/o Bob Rose 111 Pfingston Road Suite 300 Deerfield, IL 60015
e-mail APPLICATION
Date: //
First name: Last Name:
Address:
City: State: Zip:
Phone: Work Phone:
Fax: Work Fax:
e-mail:
Company Name(if applicable):
Harbor: Slip No.:
Boat Name: Make:
Model: Length:
Individual $20.00
Crew Scuba Diver
Friend Water Skier Other:
Other:
General Business $30.00
Caterer/Restaurant Merchant
Marine Trade $50.00
Charter Operator Ship Store
Other
Corporate Sponsor - Donation $ FOMC will bill you when application is received via E-mail Click here after submitting
$
FOMC will bill you when application is received via E-mail
Click here after submitting