PDF version of Application Form
Note: As of 2021, dues are $40/year and the mowing fee is $20/year for a regular member. If a member mows the field once, they will get a $20 rebate on next years dues. If a member mows more than once, they will receive a $30 rebate on next years dues. Dues can be paid to the club treasurer at a monthly meeting.
Name: ______________________________________________________
Address: ____________________________________________________
E-mail: _____________________________________________________
Phone: _____________________________________________________
AMA Number: ________________ AMA Expiration: ______________
Type of membership:
___Regular (Age 18 and over)
___Family
___Junior (Under 18)
___Senior (Age 65 and over)
Is this a renewal?
___Yes
___No
Status:
___Pilot
___Student
___Instructor
As a member of the MRCMC, I agree to abide by all rules and regulations of the MRCMC, AMA and FAA.
Signature: ________________________________ Date: _____________
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Below to be filled out by MRCMC treasurer or board member.
Amount Paid: ________________________ Date: __________________
AMA Membership verified
Application verified and accepted by: _______________________ Date: ________