Club Membership Application Club Membership online application Please complete the LMYA Club Membership form below. When complete, click "Proceed to Payment" to be directed to our Membership Payments page where you can pay with PayPal or send a check. Club name(Required)Phone(Required)Website Club email Mailing Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Is your mailing address the same as above?(Required) Yes No Club Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Upload a photo of your clubYou may upload up to 5 photos of your club to include on the website. We will use the photos on your page, and may also use them to beautify the rest of our LMYA website, so please share generously! Drop files here or Select files Accepted file types: jpg, gif, png, pdf, Max. file size: 100 MB, Max. files: 5. What is your initiation fee for new members?(Required)What are your annual member dues?(Required)When are your monthly meetings held? (i.e. Second Tuesday at 7 pm))(Required)Officers Please tell us about your officers elected for the coming year.CommodoreName(Required) First Last Phone(Required)Email(Required) Vice Commodore First Last Rear Commodore First Last Treasurer First Last Secretary First Last Cruising Director - Power First Last Cruising Director - Sail First Last LMYA Delegate First Last Club Manager First Last DirectorsDirector 1Director 2Director 3Director 4Director 5Director 6Director 7Director 8