SPC Owner Application Form

First Name *

Last Name *

Email *

Primary Phone *

Is Primary Phone a Cell, Home or Business number *

Cell PhoneHome PhoneBusiness Phone

Secondary Phone

CFEC ID # *

Vessel Name

Summer Address *

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Winter Address

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Birthdate

Spouse's name

Check as applicable: Individual, Husband & Wife, Corporation, Partnership

IndividualHusband & WifeCorporationPartnership

Emergency Contact Name *

Emergency Contact Phone Number *

Have you been an SPC owner before? And if so, what years?

Are you related to a current of retired owner of Seafood Producers Cooperative? If so, who and how are you related?

Fishermen Members’ Site