Charterboat Association of Puget Sound (CAPS)
Name __________________________________________________________________ Date ___________________
Street Address __________________________________________________________________________________
City__________________________________________________ State_______________ Zip___________________
Home Phone ___________________________________________Charter Phone________________________
Cell Phone _________________________________________
Email __________________________________________________________________________
Membership Type:
( ) Charter Member $150.00 per year
( ) Associate Member (individual) $25.00 per year
( ) Decals $5.00 each
All NEW Charter Member applications must be accompanied by photocopy of:
1) Washington State Fisheries License
2) Coast Guard License Certificate
3) Proof of Insurance
Vessel Name _____________________________________________________________
Port of Operation_________________________________________________________
Business Name of Charter Service (if any) ________________________________
Website address ___________________________________________________________
Maximum # of Passengers________________________________________________
Primary Location conducting charter from__________________________________
Please send completed application and check to:
CAPS
720 Waverly Ave
Everett, WA 98201
Annual Dues are PAYABLE by OCTOBER 1
Copyright © Charterboat Association of Puget Sound. All rights reserved.