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MEMBERSHIP & BOAT RAMP DECAL APPLICATION PROPERTY OWNERS OF GULF COVE website:
www.gulfcove.org
e-mail: pogc@gulfcove.org 2012
PLEASE PRINT CLEARLY
2012 Your name(s), address and phone number will appear in the directory exactly
as printed Name:
_______________________________________________________________________________________________________
last name
first
spouse/partner
street Mailing Address If Different:
street
city
state
zip code I/We are: _____ Property Owner(s)
____Homeowner(s) ____Renter/Associate Member ____________________________________________________ Signature
May we contact you on occasion to assist POGC? Yes
No
*******************************************************************************************************************
Fill In Amount Membership Only $40.00 _________ New Member ____ Renewal ____ Boat Ramp Decal Only $45.00 _________ New Decal ____ Renewal Decal ____ Membership & Ramp Decal $85.00 _________ Additional Decals $5.00 _________ Total
Enclosed
$ __________
Date: ____/____/________ Make check payable to POGC, Inc. Trailer/Decal Information Only POGC reserves the right to verify trailer registrstions. For requests by mail: Please send a copy of your trailer registration. Decal Numbers ________________
Trailer License Number ______________________
(office use only)
Sold and verified by: __________ Restrictions:
Max Length 28'/ Beam 8.5' /
Dual Axle Place Decal on
back or left side of trailer winch post, DO NOT PUT IN VEHICLE !! _________________________________________________________________________________________________
Mail to: POGC, Inc.
P.O. Box 27112 El Jobean, FL. 33927
(Rev 10/12)
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