Name: _________________________________        
Address: _______________________________        
City: __________________________________ State: _____ ZIP: _________

Home Phone: _____________
Cell Phone:    _____________
 
Email: ______________________     AMYA NO. ____________

YACHT CLASS        Sail No.    Hull Color        Channel/Freq.        Alt Channel
    36/600                      _______    _________        ____________    __________
    Marblehead              _______    _________        ____________    __________
    Victoria                    _______    _________        ____________    __________
    Seawind                   _______    _________        ____________    __________
    Micro Magic            _______    _________        ____________    __________
Other: __________     _______    _________        ____________    __________

Suitable eye protection is required on the tip of the transmitter antenna.

I hereby agree to subscribe to the club purpose and adhere to the highest standard of sportsmanship.
Also, I shall abide by the MMYC By-laws and the US SAILING Racing Rules, including Appendix E.

Date____________    Signature __________________________________________

New membership and renewal annual dues are:  $10.00

Send your completed application and check (payable to Dean Johnson) to:

Dean Johnson
2957 E Vermont Dr
Gilbert, AZ 85295
602-492-6576
MMYC (at) cox.net
www.mesamodelyachtclub.com

Right Click here and "Save Link As" to download Membership Application