Individual Application Form Individual Membership Online Application Please complete the LMYA Individual 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. Name(Required) First Last Your 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 Email(Required) Phone(Required)Name of Significant Other First Last Other membershipsDo you have a boat? Yes No Name of boatMake of boatLength of boat in feetType of boat? Power Sail Upload a photo of your boat!You may upload up to 5 photos of your boat to include on the website. We will use the photos in our featured boats area, and 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. Sharing of contact informationMay we include your email and phone number(s) in our members-only online directory? If so, please select the items you wish to be shared. We never share our members' information outside of the LMYA. Yes, share my email with other LMYA members Yes, share my phone with other LMYA members No, do not include my contact information in the LMYA directory
