MID ATLANTIC YACHT RACING ASSOCIATION
                                 Membership/Renewal Form
                                  PDF Version Available

                                                     Date___________________________

Application for membership/renewal - Please complete all requested information.
List all classes in which you compete

Name: ___________________________________________ Home Club: _______________________	         
      (Last) (First) (M.I.)

Age: _____ Date of Birth:________________ E-mail Address ___________________________

Permanent Address: _________________________________________________________________
                   (No./ Street/ P.O. Box)
                   _________________________________________________________________
         
                   _________________________________________________________________
                   (City, State, Zip Code)

Telephone (Home):  ______________________ (Work) ______________________
                   (Area) (No.)                  (Area) (No)

Summer Address:    _________________________________________________________________
                   (No./ Street/ P.O. Box)
                   _________________________________________________________________
         
                   _________________________________________________________________
                   (City, State, Zip Code)


Summer Phone:      ___________________________ 
                   (Area) (No.)

If applying for Family Membership, names of family members racing, their
ages and dates of birth:


____________________________________________________________________________________

Boat Classes (Circle all that apply): 


     Optimist White       Optimist Blue        Optimist Red

     Youth (15 & under)   Junior (16-20)       Master (21 & older)

     Sunfish:

     Youth (15 & under)   Junior (16-20)       Master (21 & older)

     Laser (Radial)       420 Ocean Racing     Supporting Member (no boat) 

     Other (please specify): _______________________________________________________

Please provide all sail numbers, as applicable, and the type and name
of your boat if you are an ocean racing member. If you race in multiple
classes, please provide information for all boats.

PRINT OUT and return this application and check payable to MAYRA 
for the applicable fee to:
         John Lacy
         P.O. Box 107
         Cedars, PA 19423

Individual Membership --    $5.00  After 7/15 $7.00
Family Membership --        $12.00 After 7/15 $15.00 
Ocean Racing Membership --  $10.00 After 7/15 $15.00 
      (Skipper, Owner & Navigator)