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 Please Enter the text from the right exactly as it appears.

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