Party to whom Government Updates should be directed

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Middle Initial:
Last Name:
Title:
E-Mail:
Phone:
Fax:

Corporation Information

Corporate Name:

 

Headquarters Street:
Headquarters City:
Headquarters State:
Headquarters Zip:

 

Location1 Street:
Location1 City:
Location1 State:
Location1 Zip:

 

Location2 Street:
Location2 City:
Location2 State:
Location2 Zip:

 

Location3 Street:
Location3 City:
Location3 State:
Location3 Zip:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

What is your company's primary business ?

Boat Builder
Distributor
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Marina
Boat Retailer
Factory Rep
Service Provider - Specify
Other - Specify

 

 

Check if a member of

UMMA:
NMMA:
UMRA:
MRAA:
UMSA:
 

Congressional District Information

District number
Senator's Name
Representitive
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Location1:
Location2:
Location3:

Number of employees in each district

Headquarters:
Location1: Location2: Location3: