FOMA
Florida Offshore Multihull Association
Membership Form

Date:________________

Name:______________________________________________________________

Spouse:_____________________________________________________________

Address:____________________________________________________________

City:_____________________________________ State:______ Zip:____________

Home Phone:________________________ Work Phone:______________________

EMail Address: _______________________________________________________

Boat Type:________________________________ Length:______ Sail #__________

Boat Name:__________________________________________________________

Are You Available For Crew?________                 Sailing Experience ________yrs

Sail Interests: Cruising _________________________ Racing _________________

Skills I have that could help FOMA ______________________________________

I would prefer to receive my newsletter via:      email        pony express   (circle one)

Comments:__________________________________________________________
___________________________________________________________________
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$100.00 Sponsor or $30.00 Boat Owner
Make checks payable to FOMA and mail with form to:

Lowell Dexter
4255 37th Street South
St. Petersburg, FL 33711
(727)864-1418