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Beach Passes

 
Resident of Milton: 
 Yes    No
Primary Vehicle Plate #: 
Additional Vehicle Plate #: 
Name: 
Phone: 
Email: 
Physical Address same as Mailing: 
 Yes    No
Mailing Address
Street: 
City: 
State: 
Zip: 

Family Member Name: 
Family Member Name: 
Notes: 
 
Sub Total: 
     
I agree and accept the beach rules set forth by the town.