OKEECHOBEE MODEL AIRPLANE CLUB Amount:__________
MEMBERSHIP APPLICATION FORM Check# :__________
AMA CHARTER #2958 AMA#:___________
ALL APPLICATIONS DUE JANUARY 1ST Date Rec:________
NAME _____________ ________________ ___ ___________ SPOUSE
LAST FIRST FIRST
ADDRESS _________________________________________________BIRTH DATE
CITY______________________________________________STATE_____________ZIP
TELEPHONE___________________________CELL_________________________
May address and phone numbers be given out? Yes____ No______ Initial ______
AMA/MAAC#___________________EMAIL_______________________________________
FAMILY MEMBERSHIP NAMES______________________________________________________
NAME FOR MEMBERSHIP BADGE_____________________________
LIST TRANSMITTER FREQUENCIES:__________________________________
2009 MEMBERSHIP DUES
A.$75.00 for Open members.
B.$30.00 per year for Family members
C.$20.00 per year for unaccompanied minors. (Under 19)
D.$10.00 per year for Associate members.
E.$100.00 Initiation Fee for New Members
CONTACT NUMBERS 467-4598 357-3079 763-8376
PLEASE MAKE CHECK’S PAYABLE TO: OKEECHOBEE MODEL AIRPLANE CLUB.
PLEASE ATTACH A COPY OF YOUR 2009 AMA OR MAAC CARD
WHICH IS REQUIRED WITH THIS APPLICATION.
Okeechobee Model Airplane Club
P.O.Box 341
OKEECHOBEE, FL 34973 - 0341
IF YOU ARE A WINTER FLYER, PLEASE LIST YOUR SUMMER ADDRESS:
ADDRESSTELEPHONE
CITYSTATEZIP
PLEASE FILL-OUT AND COMPLETE THIS FORM IN ITS ENTIRETY.
FOR CLUB USE ONLY; THANK YOU
I AGREE TO ADHERE TO ALL OF THE “AMA” AND CLUB RULES. SIGNATURE:__
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