Petit Manan Yacht Club Member Registration Form

NAME(S):

SUMMER ADDRESS & PHONE #:                         WINTER ADDRESS & PHONE #:

CELL PHONE:

SUMMER E-MAIL ADDRESS:

WINTER E-MAIL ADDRESS, IF DIFFERENT:

PMYC Newsletter – Do you absolutely require a Hard Copy of the newsletter?: NO___; YES___

Note: We are trying to reduce our mailing and printing costs ... so if an electronic form of the Newsletter is suitable, please indicate “NO” to the question. The Newsletters are posted on the PMYC Web Site.

BOAT NAME:

RECOMMENDED BY:

DATE OF APPLICATION OR YEAR JOINED:

AREAS OF INTEREST FOR VOLUNTEER PARTICIPATION (please check):

• ___ Waterfront Setup and/or Takedown
• ___ Sailing Instructor (no experience required)
• ___ Lobster Bake
• ___ Program Committee
• ___ Whatever's Happening
• ___ Other:

Mail to: PMYC, PO Box 27, Milbridge, ME 04658

http://www.sunriseline.com/pmyc

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