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BY CHECKING THIS BOX I HEREBY MAKE FORMAL APPLICATION TO THE NEW YORK STATE HARBORMASTER & BAY CONSTABLE ASSOCIATION. IF MY APPLICATION IS APPROVED, I PROMISE TO UPHOLD THE STANDARDS AND THE BY-LAWS OF THE ASSOCIATION IN ANY ACTIVITIES SPONSORED BY THEM.

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NEW YORK STATE HARBORMASTER & BAY CONSTABLE

P.O. Box 1551, Lindenhurst, NY 11757-0942

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NEW YORK STATE HARBORMASTER & BAY CONSTABLE