Membership - Massachusetts Lobstermen's Association

Name*
First Last
Membership*
*To qualify for a Full Regular Membership, you MUST (1) hold a valid Mass. Commercial Lobster License, (2) reside in Massachusetts, (3) be sponsored by either two Regular Members or one Delegate, and (4) send in a copy of your lobster license with this application.
Sponsor 1 Name
First Last
Sponsor 2 Name
First Last
Business Name

* Business members will now be listed in 2"x2" ad in the new MLA business section at the front of the monthly newspaper, a 2"x2" ad linked to your website will be added to the MLA website, preferential ad location selection in the newspaper and early registration and booth preferences for the MLA Annual Weekend event.
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone
Work Phone
Cell Phone
Fax
Email
Website
Vessel Name*
Home Port*
Permit ID#*
Type of Permit*
Marine Insurance Information Requested?*
Message
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