Name ______________________________ Age
_______ Date __________ Address
______________________________________________________
_____________________________________________________________
Telephone:
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 |
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Dues: |
Before August 1st |
After August 1 |
|
Full Flying
Member |
$35.00 |
$17.50 |
|
Junior Flying
Member
(17
or younger) |
$17.50 |
$8.75 |
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