Club Cruceros Membership
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Are You a New Member?
Couples! Please submit individual forms and pay separately
Your First Name
Your answer
Last Name
Your answer
Boat Name or Radio Name
Your answer
Hailing Port (or Home) City
Your answer
Hailing Port (or Home) State
Your answer
Hailing Port (or Home) Country
Your answer
Telephone
Your answer
Email
Your answer
Emergency Contact
Club Cruceros maintains a database of member emergency contacts. In the past this information has been needed for medical emergencies and emergencies with member vessels.
Emergency Contact's Name
Your answer
Hint: Country Code for USA and Canada is +1, Mexico is +52
Contact's Phone (Include Country Code)
Your answer
Contact's Email
Your answer
Dues are $10 Dollars Per Person
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