MEMBER UPDATE FORM

Ocean Springs Yacht Club

 

P. O. Box 821

100 Front Beach Drive

Ocean Springs, MS 39566

 

PERSONAL:                                                                                       MEMBERSHIP CLASS:

 

NAME_________________________________________                         (   )   A >     RESIDENT

                                                                                                                       (   )   B >     NON-RESIDENT

SIGNATURE____________________________________                         (   )   C >     INTERMEDIATE

                                                                                                                        (   )   A/C > CORPORATE     SS#___________________________________________                            (   )   M >    MILITARY

MARITAL STATUS:  (     )MARRIED___(    )SINGLE____                      (   )   F >     SENIOR (70 OR OLDER)

 

SPOUSE’S NAME_______________________________                                                                                                                                                                                                                  BOATS OWNED:

HOME ADDRESS_______________________________                        (   )   -  SAIL >       MAKE______________

                                                                                                   (  )   -  POWER >  MAKE______________

 

CITY/STATE/ZIP_________________________________                      E-MAIL ADDRESS (PLEASE)

                                                                                                                       

WORK ADDRESS_________________________________ ________________________________

 

CITY/STATE/ZIP_________________________________                     COMMITTEE INTERESTS:

 

PHONE:  HOME____________BUSINESS____________                   (   )  HOUSE

                                                                                                            (   )  REGATTA

CHILDREN (Under 21)           BIRTHDATE                SEX                                    (   )  PUBLICITY

                                                                                                            (   )  POOL

_____________________________________________                              (   )  MEMBERSHIP

                                                                                                            (   )  RACE

_____________________________________________                              (   )  SOCIAL

                                                                                                            (   )  BY-LAWS

_____________________________________________                              (   )  OTHER_________________________

 

OTHER YACHT CLUB MEMBERSHIPS:

   CLUB  NAME______________________CARD#______CITY__________________STATE___ZIP_______  

 

WHO WAS YOUR SPONSOR?  ________________________________________________________________________

WHAT WAS THE MONTH & YEAR?_________________________________________________________________

Because of Hurricane Katrina, we would like to update our files. We need this information to do so. We appreciate your cooperation.