PLEASE FILL OUT ALL AREAS - THANK YOU!

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            Do you have more that 1 boat registered with the Fox Waterway Agency?  YES  NO

            Do you have more than 1 customer number with the Fox Waterway Agency? YES   NO

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Please fill out your name as it appears on your Fox Waterway Customer Account.

            Customer Number:   

            First Name:    Last Name:

            Street Address: 

            Street Address (Line 2)

            City:    State:  Zip: 

            Email Address: 

            Verify Email Address: 

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If you have difficulty using this form with your browser, please email the above information to laura@foxwaterway.org.