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2019 REGISTRATION FORM

Port of Egypt Marine * 62300 Main Road, Southold

Registration Fee: $50 per person * POE Customers: $40 per person

Please select one date. All workshops are 9 a.m. - 12 noon. *
Your Name *
Your Name
Are you a Port of Egypt customer? *
Would you like to register anyone other than yourself? *
Payment Method: *
EXPIRATION DATE (Month / Year)
EXPIRATION DATE (Month / Year)