Portland Yacht Club
Membership Update Form

Copy the form template below and paste INTO an email, then fill out and send to:
roster@portlandyc.com You may also send UPDATED Photos in jpg format.
Complete any information in the PYC Roster that needs updated and submit by March 1st!

Contact Information
Member Name
Phone
Address
City State Zip
Employer
Office Phone
Cell Phone
Email
Spouse's Name
Spouse's Employer
Office Phone
Cell Phone
Email
Children Under 18
Living at Home

(
Please list children's names and ages)

Boat Information

Boat Name
Type M/V S/V (Place X in appropriate box)
Boat Make
Length Beam
Berth (row, slip or name of moorage)
Please use the box for any additional information.