*My name is:      CDSOA#:

Address (including City, State and Zip):     

*Phone#:           Cell Phone#:           

*Email:

Names of all crew:

Boat Name:  

Boat Model:   Select from list CD10 CD14 Handy Cat Typhoon Typhoon Senior Typhoon Weekender CD22 CD22D CD24 power CD25 CD25D CD26 CD26D CD27 CD270 CD28 CD28 Power Intrepid 28 Intrepid 9M CD30C CD30K CD30B CD30MKII CD30 Power CD300MS CD31 CD32 CD33 CD330 CD33 Power Robinhood 33 Power Intrepid 35 CD36 CD36 Power Robinhood 36 CD40C CD40K Robinhood 40 Intrepid 40 CD45C CD45K Intrepid 45 Robinhood 45 Other      Hull color:     Sail Color:

Hailing Port (as indicated on stern): 

Other identifying features of vessel:     

Do you have crew berths available for out-of-area CDers?      Yes         No

Boatless? Do you need a crew berth on a participating boat?   Yes         No

Shore Contact (has your float plan):   Phone#:

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