PACIFIC NORTHWEST MODEL YACHT CLUB

AMYA LOCAL CLUB #294


MEMBERSHIP REGISTRATION - 


Name:  _____________________________________

Street Address: ___________________________________________

City, State, Zip: _______________________________

Phone: ______________________________________

Email: ______________________________________


T-37 sail number(s): _________  Other boat classes? ____________________  

AMYA member? (optional) number ________

Where do you usually sail your T37, or other model yacht?_________________

Also a member of a Big Boat Yacht Club? ____Which one? _________


Type of Membership (2O23):   __$2O Adult or Family,   __$5 Junior

New member____, Renewal_____.

Other donation in support of radio sailing in the Northwest:  $ ________


If family membership, please indicate names of family members participating:

______________________________________________________________

______________________________________________________________.


Please mail form and payment by check* to :

"PNMYC"
c/o Dan Mathews 
P.O. Box 2911, 
Kirkland, WA 98083-2911

*To pay by credit card, email the information above to sailPNMYC@gmail.com 
and request a SQUARE online invoice sent to your email address.