SOUTHERN CALIFORNIA YACHTING ASSOCIATION
US SAILING SAIL NUMBER APPLICATION

SCYA SERVICE CENTER
5855 Naples Plaza, Suite 211
Long Beach, CA 90803

Fill in this form and print.
Mail form to above address with a check for:
$  75.00 for a 5 Digit Sail Number
$125.00 for a 4 Digit Sail Number

Applicant's Name:
Street Address:
City:
State: ZIP:
Telephone:
FAX:


Yacht Club Membership:

PLEASE NOTE:  Proof of yacht club membership is required.   A copy of your membership card, current dues statement or an email from a Flag Officer are acceptable.

YACHT INFORMATION
Name: HIN Number:
Make: Length:
Year: DMV or Document Number:


Are you a US SAILING Member:
US SAILING ID NO.:
Expiration:



If you have sold a boat with a US Sail Number, please fill in the following information.

Yacht Name:
Sail Number:
New Owner:
Street Address:
City:
State: ZIP:
Telephone: