FAYETTE FLYERS RADIO CONTROL CLUB
Membership Form
1. Please complete the entire form. Make checks payable to "Fayette Flyers". New members bring it to the meeting.
2. Club membership fee is $50.00 for family.
3. A family is defined as those persons related by marriage, blood, or adoption and residing in the same residence.
IT is requested that you attend at least your first meeting to be voted in.
Yearly Renewal dues will be (Fifty dollars $50.00 Family membership).
All renewals must be paid by December 31st. A late fee of $10.00 will be added after January 31st. After March 31st the member will be removed from the roster and next on the waiting list if any will be up to join..
NAME__________________________________AMA#____________________________
ADDRESS__________________________________________________________________
CITY__________________________________STATE___________ZIP________________
PHONE (_____)_______________________SPOUCE'S NAME________________________
E-MAIL ADDRESS _________________________________________________+________ Fayetteflyers online web address http://fayetteflyers.com
OTHER FAMILY MEMBERS (LIVING IN YOUR HOUSEHOLD) THAT FLY
R/C:
NAME___________________________DATE OF BIRTH____________AMA
#___________
NAME___________________________DATE OF BIRTH____________AMA
#___________
NAME___________________________DATE OF BIRTH____________AMA
#___________
OTHER FAMILY MEMBERS LIVING IN YOUR HOUSEHOLD:
NAME____________________AGE_____
NAME__________________AGE______
NAME____________________AGE_____
NAME__________________AGE______
AFFIDAVIT: I HAVE AN AMA MEMBERSHIP FOR 201_ [current or coming the new year] AND AGREE TO ABIDE BY THE REGULATIONS OF THE ACADEMY OF MODEL AERONAUTICS AND THE BYLAWS, SAFETY and FIELD RULES OF THE FAYETTE FLYERS RADIO CONTROL CLUB.
SIGNED: _________________________________DATE________________
Please return this form at your First Meeting.