The Massachusetts Marine Trades Association Welcomes Your Participation in the
2016 Stay Local Boat MA Transient Boater Referral Discount Program!
Facility Name:
Facility Address:
Program Contact Name at Facility:
Email Address:
Program Contact Number:
Number of Facility Slips/Moorings:
Number of Discount Cards Requested:
(one per slip/mooring customer)

Current MMTA or CCMTA Members:
$75 per facility with 200 or fewer slips/moorings
$150 per facility with over 200 slips/moorings

$150 per facility with 200 or fewer slips/moorings
$300 per facility with over 200 slips/moorings

New Sponsorship/Participation Opportunities:
$1000 exclusive logo placement on card plus banner ad on www.staylocalboatma.com
$500 non-exclusive program sponsor would include logo highlight and banner ad on www.staylocalboatma.com
$50 off enrollment fee for referring a facility to join Stay Local

Premier Marina option: double fee of participating marina in exchange for a "Premier Marina" designation at top of card in bold or some other highlight pending discussions with printer.

Upon enrollment and payment processing (via PayPal below, CC below or check to MMTA, PO BOX 6133, Plymouth, MA 02362) your facility will be added to all promotions for the Stay Local Boat MA Program. Please send your logo in a jpeg file to Nathalie.grady@boatma.com. Please send any questions or comments as well.

Thank you!

CC Type
Credit Card # Expiration Date:
Cardholder Name: CVV Code 3/4 Digits:
Card Holder Billing Statement Address: Statement Billing City:
Zip Code:
Total Program Enrollment Fee:
(see above)

Paying By Credit Card? 
Remit securely online or complete this form & return by fax to 774.404.8015
Paying By Check? 
Complete this form & remit to MMTA P.O. Box 6133, Plymouth, MA 02362-6133

Thank you!