Thank you for your interest in
joining Tampa Cruis-A-Cade!
Please complete this application. When you are finished, click the SUBMIT button at the bottom.
(You may also print out and mail this
membership application form)
Name:
Birth Date:
Address:
City:
State:
Zip:
Home #:
Work #:
Email (optional):
Spouse Name:
DOB:
Name of Boat:
Year:
Boat Length:
Less than 12 ft
12 to 15 ft
16 to 20 ft
21 to 25 ft
26 to 30 ft
31 to 34 ft
Over 35 ft
Make of Boat:
Years Boating:
0 to 1
2 to 5
5 to 10
10 to 15
15 or more
Completed Safe Boating Course:
Y
N
How did you hear about Tampa Cruis-A-Cade?
Other Information for consideration (optional):
