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Application for Membership

  Name ______________________________ Age _______ Date __________

Address ______________________________________________________


Home ____________________ Work _________________

AMA No. ________________ Spouse's Name ________________________

Have you flown R/C before? _______ If so, How many years? _______

If you own R/C radio equipment, which channel(s) do you use? _____________

E-Mail address _________________________

Please submit this application form, proof of AMA membership (copy of
your AMA card) and your dues. If paying by check, please make payable
to Eastern Maine R/C Gulls and mail to:

  Reggie Strout
18 Brewer St
Brewer, ME 04412
(207) 989-7542
  Dues: Before August 1st After August 1
  Full Flying Member $35.00 $17.50
  Junior Flying Member
(17 or younger)
$17.50 $8.75