Membership Application

Membership Application

Palm Beach Gardens Model Yacht Squadron
Fleet No. 94 - American Model Yacht Association AMYA
9481 MacArthur Blvd - Palm Beach Gardens, FL 33403

* Indicates required field

Name *

First

Last

Significant Other *

First

Last

Home Phone *

Cell Phone *

Other *

Email *

Boats Sailed / Sail Number *

AMYA Membership No. *

Okay to share information on website *

Name Address Email Phone

Local Address *

Line 1

Line 2

City

State

Zip Code

Country

Alternate Address *

Line 1

Line 2

City

State

Zip Code

Country

By filling out this form, your submission will be sent to the Treasurer.
To become an active member, mail your check made payable to PBGMYS to the Treasurer at:

Chet Brewer
837 Anchorage Dr.
North Palm Beach, FL 33408

You can hand deliver check or cash to the Treasurer at the Pond on any Sunday before races begin at 9:00am

NEW MEMBERSHIP - $30
ANNUAL RENEWAL - $25

Fees are due on October 1st, membership is delinquent on November 14th

Submit