Thank you for your interest in the New York State Tour Boat Association. If you are interested in becoming a member please complete the online application below. COMPANY NAME: REPRESENTATIVE:   STREET ADDRESS: CITY: STATE: ZIP:   MAILING ADDRESS: CITY: STATE: ZIP:   TELEPHONE: - - FAX: - - CELL PHONE: - - WEBSITE: E-MAIL ADDRESS: ANNUAL DUES $100 TYPE OF MEMBERSHIP:  VESSEL          ASSOCIATE   VESSEL MEMBER NUMBER OF VESSELS:      USCG or STATE INSPECTED      PASSENGERS   ASSOCIATE MEMBER SERVICES PROVIDED   YES PLEASE LINK MY WEB SITE TO THE NYS TBA WEB SITE (MUST BE RECIPROCAL) SIGNATURE DATE NOTE: As a Member of the NYSTBA, You Must Display A Link To The NYSTBA web site ON Your WEB SITE THIS IS A CONDITION OF MEMBERSHIP Membership Dues: Membership dues are non-transferable, non-refundable and are payable by January 31st of each year. After June 30th new members dues are prorated on a monthly basis for the remainder of the claendar year. All funds to NYS TBA must be in U.S. dollars. Make Checks Payable and Mail to: NYS TBA PO Box 98 Brightwaters, NY 11718 Please print a copy of this application for your records, your canceled check is your receipt. Thank you and Welcome Aboard! Please click SUBMIT to process your Membership Application WARNING: Your Message WILL NOT Get Sent unless you enter The Security Phrase below.

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