Registration Form 2005

Print this Form to Join LIMYRU

Please fill out the registration form and make your $25 check payable to LIMYRU. If you need a numbered pennant please add an additional $5. Send your check and this completed registration form to Chuck McClead, PO Box 54, Holden, ME 04429.

Name _______________________________________________________

Home Address ________________________________________________

City _________________________________________________________

State ________ Zip _______________ Tel. _________________________

E-Mail Address ___________________________________________

Summer Address ______________________________________________

City _________________________________________________________

State ________ Zip _______________ Tel. _________________________

Contact by (please check one):    _____ Regular Mail       _____ Email

Boat Type(s) ________________________________________________

Color _______________________________ Length _________________

Reg (Burgee) No. ___________________ Sail No. ____________________

Genoa Jib? Y/N _____ Percent _______%        Spinaker? Y/N _____