Club Cruceros Membership Form
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Are You a New Member? *
Your First  Name *
Last Name *
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Boat Name or Radio Name
Hailing Port City (or Home City)
Hailing Port State (or Home State) 
Hailing Port Country (or Home Country)
Telephone
Email
Emergency Contact's Name
Contact's Phone (Include Country Code)
Contact's Email

Click Submit and then either pay by credit card, PayPal or follow the instructions to pay your dues at the Club Cruceros Clubhouse.

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