ABINGTON R/C SPORT FLYERS

AMA1219

REGISTRATION AND MEMBERSHIP APPLICATION FOR YEAR____________

NEW MEMBER_____ RENEWING MEMBER______CASH_____CHECK_____

NAME_________________________________

ADDRESS______________________________

CITY___________________________________STATE__________ZIP__________

E-MAIL________________________________

PHONE NUMBER_______________________

DATE OF BIRTH________________________

AREA OF INTEREST__________________________________________________

VOLUNTEER AVAILABILITY, SAFETY_____INSTRUCTION_____MODEL PREPARATION_____FIELD MAINTAINENCE_____

DO YOU REQUIRE FLIGHT INSTRUCTION? _____

By signing this document you are agreeing to abide by the rules and regulations of the ABINGTON R/C SPORT FLYERS as they exist or as they may be amended.

SIGNATURE____________________________________DATE________________

DUES $30.00 ($35.00 AFTER MARCH 15)

Note: Junior member dues are $10.00 per year.

No late charge for junior members or new members.

Make checks payable to: ABINGTON R/C SPORT FLYERS

MAIL TO:

ABINGTON R/C SPORT FLYERS

C/O EDWARD TREAT

RR 2 BOX 385

DALTON, PA 18414

MEMBERSHIP CARDS WILL BE ISSUED UPON RECIEPT OF DUES AND VERIFICATION OF CURRENT AMA MEMBERSHIP.

AMA VERIFIED BY_____________________TITLE_________DATE__________