MRCMC Application Form

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:  ________