VCBA Membership APplication

Virginia Charter Boat Association - Membership Application

Directions: Complete the application with the necessary information. Use your printer to copy the information and mail along with your dues check in the amount of $60.00 to:

Rick Lockhart, VCBA Treasurer

490 Hardings Wharf Drive

Kilmarnock, VA 22482-3108

Membership renewals may be accomplished at any Board or General Membership Meeting by completing the application below and paying annual dues.

Please fill in all information below. This is necessary in order for us to process your NACO membership.

Type of Membership

First Name Last Name

Street Address

City, State Zip Code

Home phone number Work phone number

USCG license number Expiration Date

Boat Name Boat Location

Zone:

Northern Neck Middle Peninsula Lower Peninsula

Tidewater Eastern Shore

Number of Passengers

Email Address Website Address

Hit "Print" to print this form and mail with your check to Rick Lockhart at the address above. Then hit "Submit" to send the form electronically to Rick.