1. Print this form using
your browser print option
2. Complete the form
3. Mail form and payment
to the address at the bottom
National
Marinette Association Registration
First Name __________________
Last Name __________________
Spouse First Name __________________
Mailing Address __________________
Email Address __________________
Phone Number (optional) __________________
Boat Length ___________________
Boat Model ___________________
Boat Name ___________________
Desired User Name ___________________
Password ___________________
T-Shirt Size ___________________
(first shirt is included with membership
additional shirts $10 ea)
Mailing address:
Marinette