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Application

To apply for membership to the Midland RC Club please fill out the application and bring to our monthly meeting.  See the calendar for details regarding the monthly meetings.

MIDLAND RC MODELERS CLUB
MEMBERSHIP APPLICATION/RENEWAL

MEMBERSHIP YEAR:__________

TYPE OF MEMBERSHIP:     REGULAR (AGE 18 & OVER):________FAMILY MEMBER:______
JUNIOR (UNDER AGE 18):______   SENIOR (AGE 65 & OVER):______   ASSOCIATE:______

IS THIS A RENEWAL OF YOUR MRCM CLUB MEMBERSHIP?   YES_______   NO_______

IS THIS A CHANGE IN YOUR MRCM CLUB MEMBERSHIP CATEGORY?  YES_____  NO_____

NAME:_______________________________________PHONE:_______________

ADDRESS:__________________________________________ CITY:_____________________

STATE:______ ZIP CODE:__________ AGE:__________ SPOUSE NAME:____________________

E-MAIL ADDRESS__________________________

A.M.A. NR:________________________      A.M.A. CARD EXPIRATION DATE:_____________

IF ASSOCIATE MEMBER, NAME OF PRIMARY R/C CLUB: _________________________

MOWING FEE:  REGULAR MEMBERS WILL BE CHARGED A MOWING FEE TO BE PAID AT THE TIME OF DUES PAYMENT.  REGULAR MEMBERS THAT WISH TO MOW WILL NEED TO BE SCHEDULED.  MOWERS WILL RECEIVE A DUES CREDIT TOWARDS THE FOLLOWING YEARS DUES.

PLEASE SCHEDULE ME TO MOW:  YES_________ NO__________

RADIO FREQUENCY:  I UNDERSTAND MY RADIO EQUIPMENT MUST MEET THE 1991 NARROW BAND REQUIREMENTS OR HAM RADIO REQUIREMENT TO BE USED AT THE MIDLAND R/C MODELERS FIELD.

FLYING STATUS:  PILOT___________  STUDENT____________ INSTRUCTOR_____________

AS A MEMBER, I AGREE TO ABIDE BY ALL THE RULES & REGULATIONS OF THE MRCM CLUB & AMA.

SIGNATURE: _______________________________

BELOW TO BE FILLED OUT BY MRCM CLUB:

AMOUNT PAID: $_____________  DATE PAID: _____________ MEMBERSHIP YEAR: ______

INSTRUCTOR REQUESTED:  YES___ NO: ____ CHECK FLIGHT REQUIRED YES ___  NO___

AMA MEMBERSHIP VERIFIED BY: _________________________________________

APPLICATION APPROVED BY: ________________________________ DATE: __________