Thank you for your interest. This form may be used to inquire about
and/or pre-register for the:

Harris Chain Sail & Power Squadron

America's Boating Course Class which starts on 11 SEP 10 at 8:15 AM
Venetian Gardens, Cultural Arts Ctr. Leesburg, Fl
201 E Dixie Ave. (SR44) Leesburg, FL
Note: In Person Registration begins at 8:00 AM

Cost of this course is $40.00

 

  
 Please check as many  options as apply

Please send me information about this class
Please contact me, I have questions I would like to discuss
I am interested in pre-registering for this class

  


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

Each squadron has its own registration process. Pre-registering indicates a desire to register before the class begins. The squadron class manager will contact you with the details of the registration process.

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 Pre-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 classes 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: