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ASTS Enrollment Application 1853 R.W. Berends Dr SW Wyoming MI 49519 Phone 1-800-477-3177 Fax 616-534-5545 Page 1 of 2 Company Name Date Designated Employee Representative s 1 2 Address Phone Fax City State Zip Code Email Company Type Charter/Party Months of Operation Towing/Salvage Jan Feb Jul Aug Sep Passenger Mar Apr Oct Sailing School Other May Jun Nov Dec 2011 Membership Agreement Testing Services For the term that begins the date this application is received through December 31 2011...

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