Application
Membership Application for Charterboat Association of Puget Sound (CAPS)
(Please print or type)
Name ____________________________________DATE___________
Street Address_____________________________________________
City_______________________________ State_______________ Zip________
Home Phone ____________________ Business Phone_____________________
Membership Type:
( ) Charter Member $100.00 per year
( ) Associate Member (individual) $25.00 per year
( ) Associate Member (business) $50.00 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______________________________________
Maximum # of Passengers ________ Charter Office_______________________
Please send completed application and check to:
CAPS
720 Waverly Ave
Everett, WA 98201
Annual Dues are PAYABLE by OCTOBER 1