Name______________________________________________________________

Street_______________________________________________________________

Town_____________________State_____________________Zip______________

Phone Number______________________E-Mail address______________________

 ____________________________________________________________________

Boat Number___________________

 Racing Membership $ 20.00

Non-Racing Membership $ 10.00

 Tell Us About Yourself !!

Racing Highlights:________________________________________________________

Other Hobbies and Accomplishments:_________________________________________

Please Mail with check payable to S.S.O.A. – attn.:

Mike Akerstrom, membership chairman

39 Beaverbrook Rd.

Westford, MA 01886