Register : 2024 Columbia Gorge Racing Association Membership

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First Name  
Last Name  
Address
City
State/Province
Zip/Postal Code
Country

Phone Number 
Work Number 
Cell Number 
Fax Number 
E-mail Address 
Yacht Club
Company Name (Business or Benefactor only):
Boat #1 Type:
Boat #1 Sail Number:
Boat #2 Type:
Boat #2 Sail Number:

  Select Your Desired Membership Type

Membership Benefits:



   
   Membership Type :
   Family Members:

 

 Family Information

Please enter family member names as they should appear on membership cards.

FAMILY MEMBER 1:
 
First Name
Last Name
Date of Birth
E-mail Address                 
Phone Number

 
FAMILY MEMBER 2:
 
First Name
Last Name
Date of Birth
E-mail Address                 
Phone Number

 
FAMILY MEMBER 3:
 
First Name
Last Name
Date of Birth
E-mail Address                 
Phone Number

 


 

 
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