Membership Application - Chesaning Area Model Flying Club

R ___ J ___
CHESANING AREA MODEL FLYING CLUB, INC.
MEMBERSHIP APPLICATION
Please Print
NAME____________________________________________________MALE _____ FEMALE _______
ADDRESS____________________________________ CITY _________________ ZIP CODE ________
PHONE NUMBER (____) ______________ BIRTHDATE ______/______/______
SENIOR (65+) _____
OCCUPATION ________________________ CLUB SPONSOR _________________________________
E-MAIL ADDRESS ____________________________________________________________________
HAVE YOU FLOWN R/C? _____ NUMBER OF YEARS _____ INSTRUCTOR NEEDED ________________
AMA NUMBER ______________________ OTHER R/C CLUB’S _________________________________
HANDICAPPED (EXPLAIN) ______________________________________________________________
UPON MAKING APPLICATION, I WILL HEREBY AGREE TO THE FOLLOWING RULES:

I WILL SHOW PROOF OF AN AMA MEMBERSHIP OR APPLICATION FOR AMA MEMBERSHIP.

I WILL ABIDE BY ALL THE RULES AND REGULATIONS SET BY THE CLUB AND AMA BY-LAWS.
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I WILL FLY ON THE AMA APPROVED FREQUENCY.
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I WILL PARTICIPATE AT ANNUAL SWAP MEET OR PAY $50 NON-ATTENDENCE FEE.

MEMBERSHIP FEES: REGULAR MEMBERS - $20 DUES, $120 ASSESSMENT
LIFE MEMBERS - $0 DUES, $120 ASSESSMENT
JUNIOR MEMBERS - $10 DUES, $0 ASSESSMENT

PAYMENT OF CLUB DUES AND ANY SPECIAL ASSESSMENT PAYMENTS ARE TO BE MADE AT THE
SAME TIME (SINGLE PAYMENT) AND ARE DUE MAY 1 WITH A 15 DAY GRACE PERIOD. AMA
MEMBERSHIP MUST BE CURRENT AT THE TIME OF PAYMENT.

CLUB DUES ARE TO BE PAID TO THE CLUB TREASURER.

THE MEMBERSHIP YEAR WILL RUN FROM MAY 1 TO APRIL 30.
AFTER READING THE ABOVE I AGERE TO ABIDE BY ALL RULES SET FORTH.
SIGNATURE ___________________________________ DATE ________ WITNESS _______________
Membershipapp/rev 3/15