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 made out to SSOA to:

                                 Mike Akerstrom, membership chairman

                                39 Beaverbrook Rd.

                                Westford, MA 01886