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You are here: Home1 / Additional Port 3

Additional Port 3

December 3, 2025/in /by pardeepkaur496

Terms:

$30 / Year

Business Profile

New Member

Captain

Retired Captain

First Mate

First name:* First name is Required

Last name:* Last name is Required

Birth Date:* Birth Date is Required

SSN# (last 4)xxx-xx-:* SSN# (last 4)xxx-xx- is Required

Email:* Email is Required

Cell Phone*: Cell Phone* is not valid

USCG License No.:* USCG License No. is Required

USCG Lic Exp Date:* USCG Lic Exp Date is Required

Mailing Address: Mailing Address is not valid

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

Country: Country is not valid

State: State is not valid

Mail State:* Mail State is Required

City:* City is Required

Zip/Postal Code:* Zip/Postal Code is Required

Address Line 1: Address Line 1 is not valid

Address Line 2: Address Line 2 is not valid

City: City is not valid

State: State is not valid

Zip/Postal Code: Zip/Postal Code is not valid

Physical Address (Required by USCG) Same as Mailing Address

Business Name: Business Name is not valid

Website (eg. www.xxxx.com): Website (eg. www.xxxx.com) is not valid

Business Phone: Business Phone is not valid

Primary Category:* Primary Category is Required

Enrolled in Michigan Catch and Cook?

Enrolled in Michigan Catch and Cook?:* Enrolled in Michigan Catch and Cook? is Required

Yes No

Designated Employer Rep. Name (DER): Designated Employer Rep. Name (DER) is not valid

Designated Employer Rep. Phone:* Designated Employer Rep. Phone is Required

No Boat

Primary Boat Name:* Primary Boat Name is Required

Boat Make (ex. Bertram): Boat Make (ex. Bertram) is not valid

Length (just feet eg. 26): Length (just feet eg. 26) is not valid

Vessel doc no. or M.C. #:* Vessel doc no. or M.C. # is Required

Vessel Inspected?:* Vessel Inspected? is Required

Inspection Agency:* Inspection Agency is Required

Lakes: Lakes is not valid

Fish Species: Fish Species is not valid

Superior Ports: Superior Ports is not valid

Michigan Ports and Rivers: Michigan Ports and Rivers is not valid

Huron Ports and Rivers: Huron Ports and Rivers is not valid

Erie Ports: Erie Ports is not valid

Mail City: Mail City is not valid

Mail Zip: Mail Zip is not valid

Home City: Home City is not valid

Home State: Home State is not valid

Home Zip: Home Zip is not valid

Cell Phone: Cell Phone is not valid

Alt Phone: Alt Phone is not valid

Web URL: Web URL is not valid

USCG License Expire Date:* USCG License Expire Date is Required

Affirmation of Authenticity

Affirmation of Authenticity:* Affirmation of Authenticity is Required

By submitting this form I certify all information is correct

Initials:* Initials is Required

Personal Information: Personal Information is not valid

Add’l Captain Full Name: Add’l Captain Full Name is not valid

First Mate Full Name: First Mate Full Name is not valid

Donate to the Conservation Fund- select amount.: Donate to the Conservation Fund- select amount. is not valid

Lake Port/River Information

One Primary lake or river port combination is included with your membership. You can add up to 4 additional ports below for $30 additional cost per year.

Lakes *

Port *

Fish Species *

Web Account Password

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Password Strength Password must be "Medium" or stronger

Affirmation of Authenticity

By submitting this form I certify all information is correct* You must agree to the affirmation

Initials:* Initials Required

No val

Please fix the errors above

Please review your information before you click submit, as you cannot go back.

https://michigancharterboats.com/wp-content/uploads/2025/11/mcba-logo-2025x2-1.png 0 0 pardeepkaur496 https://michigancharterboats.com/wp-content/uploads/2025/11/mcba-logo-2025x2-1.png pardeepkaur4962025-12-03 05:05:422025-12-03 05:05:42Additional Port 3

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