Thank you for your interest. This form may be used to inquire about
late registration or enter student information

Phoenix Sail & Power Squadron

America's Boating Course-8hr which starts on 24 APR 2013 at 6:30 PM
Sportsmans Warehouse
19205 N 27th Ave, Phoenix, AZ

Your cost is $40.00

Additional Notes

Class will meet Wednesday evenings 6:30 through 8:30 for 4 weeks. The cost of $40 will be collected via check or cash on first night of class.

 

  
 Please check the  option which applies

Please contact me, I am interested in late registration
I am a student in the course and would like to enter my student information.

  


USPS charges only for materials and facilities. Our instruction is provided by certified volunteer instructors at no additional charge.

The course has aleady started if you are interested in late-registration, the course manager will contact you.

Any information you provide will be treated as private. See our privacy statement for details.
  Check, if you do not want to receive information from our associated boating partners.
 

 USPS® Boating Course Registration/Inquiry

 First Name:      MI:       Last Name:
 Street Address:
 City:       State:        Zip:     
 Phone:      Ext:   
 Email:
 Questions/Comments:
   
 State Required Info: Last 4 digits of SSN:  Date of Birth (mm/dd/yyyy):  / /
  Male Female Hair Color:   Eye Color:   Height: ft in
The following information helps us tailor our boating courses to the needs of the students.

USPS® Public Relations Survey

BOAT TYPE:   None  Outboard  I/O  Inboard  SAIL  PWC  Paddle
BOAT LENGTH:     Under 16'    16 - 25   26 - 39   40 -54   55 UP
DO YOU TRAILER YOUR BOAT?      Yes    No       YEARS BOATING:   
HOW DID YOU LEARN ABOUT THIS COURSE?      CHECK THE ONE THAT BEST APPLIES.
Newspaper/Magazine TV Radio Internet Booth at Show/Mall Word of Mouth
USPS Poster/Literature Other: