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Inshore Membership Survey - all respondents will be entered to win 1 of 3 gift cards valued at $100 each!

Inshore Membership Survey

Information collected is used to ensure members receive important updates on elections, meetings, pricing, and more.
1.MEMBER NUMBER (leave blank if unsure)
2.FIRST NAME(Required.)
3.MIDDLE NAME OR INITIAL
4.LAST NAME(Required.)
5.DATE OF BIRTH (format: YYYY/MM/DD)(Required.)
6.Where is your homeport?(Required.)
7.What is your email address?(Required.)
8.Are you:(Required.)
9.Species fished (check all that apply)(Required.)
10.NAFO Fishing Area (select all that apply)(Required.)
11.If you fish Snow Crab, which fleets do you participate in (check all that apply)(Required.)
12.What company(ies) do you sell to? Select all that apply
13.Are you interested in providing charter services or would you like to know about other employment opportunities?(Required.)
14.Are you interested in attending upcoming union training, events or conferences? (Required.)
15.Are you a woman? (to be included on Women's Representative events and elections)(Required.)
16.What is your mailing address?
17.Is there anything else you'd like to say?
Current Progress,
0 of 17 answered
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