Red Grouper and pink sponges on a reef ball site

Blue Angelfish and pink sponges on a reef ball

Join the MBARA

Please complete this form, If you would like to pay electronically with a check or credit card, click the PAY ONLINE button, otherwise print the form. The printed copy may be mailed with your check, payable to: MBARA, Inc. ~ P.O. Box 13006 ~ Mexico Beach, FL 32410

MBARA is registered with the Florida Department of Agriculture & Consumer Services. Registration # CH13916

A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE (800-435-7352) WITHIN THE STATE. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE.

Name
Mailing Address
City, State, Zip
Home Phone
Business Phone
Fax Number
Email Address
Business or Occupation

Check the following areas that you would be willing to help with:
Fund raising/finance Publicity Education Newsletter Tournaments Research/Dive Team	Computer Skills Tournament Sponsor/Advertising Corporate Sponsor Purchasing and Naming a Reef Reef material procurement/reef construction
Other areas where you can help: (please detail) Please select: New Membership Renewal Membership

Select Membership Type:
Membership - $35

Boat Make and Model	Year
Engine Make, model and HP	Year
Hull Length	Hull Type
Boat Name

Select each year you entered a MBARA Kingfish Tournament:
1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Please feel free to provide comments or suggestions to improve the organization: