Membership Application
Name____________________________
Spouse’s First Name———————————-
Street___________________________________________________________________
City______________________________________State____________Zip____________
Phone____________________________Email_________________________________
AMA
Number_____________________________IMAA
Number____________________
Occupation______________________________________(Former
if retired)
First Name for Membership
Badge___________________________________________
Family Membership(List familymembers
names below)
Spouse_________________________________AMA
No._______________________
Child___________________________________AMA
No._______________________
Child___________________________________AMA
No._______________________
List radio control transmitter
frequencies (channel numbers) that you will be using
on a
regular basis
The 2010 calendar year membership
dues are as follows: Full Member $100, Family $115
(Full member, Spouse & Junior age
children), and Junior $25 (less than nineteen years
of
age before July 1
,
after which a $25 late fee is required to renew the
membership.
ATTACH A COPY OF YOUR 2010 AMA
MEMBERSHIP CARD to this application along
with a check payable to Sun Dancers
R/C Club for the membership dues. Send or deliver
to Sundancers Membership Chairman
Ken Bridges, 9639 Fairwood Court,Port St.Lucie,
FL 34986
Signature___________________________________________________Date_________