Full dues are owed from January 1st through July 31st. New members joining after July 31 owe 1/2 the annual rate.
Date: ____________________ Amount Paid: _______________ Name: _______________________________________________ Address: ___________________________________________________________ City: ______________________________________________________________ State: _________________________ Zip Code: _______________________ Phone: _____________________ Email: _____________________________________________________________ AMA Number: _________________ FAA Number: _________________ Application Type: Regular ____ Senior ____ Junior ____ Family ____ (additional family member names on back) I am interested in flight training: Yes ____ No ____ New members -- name on badge: ________________________________ Existing members -- new information on this form: Yes ____ No ____ [NOTE: Confirmation of age may be required for Senior and Junior memberships.] I agree to accept and abide by the AMA, FAA, and Forest Preserve District of DuPage County rules and regulations concerning the handling and flying of my model aircraft. Signature _________________________________________ Membership applications can be brought to a club meeting. NOTE: A family membership is only sent a single copy of The Transmitter.