SEQUIM R/C AERONAUTS
MEMBERSHIP APPLICATION

NAME:____________________________________________________________

ADDRESS:_________________________________________________________

CITY_______________________________STATE__________ZIP____________

HOME PHONE__(____)_______________E-MAIL ADDRESS__________________

AMA NUMBER_________________

PRIOR R/C EXPERIENCE (NUMBER OF YEARS)____________________

R/C INTEREST: (   ) PATTERN, (   ) IMAC, (   ) SCALE, (   ) FREE FLIGHT,

(   ) ELECTRIC, (   ) HELICOPTER, (   ) FUN FLY, (   ) SPORT, (   ) GLIDERS

(   ) OTHER__________________

I HEREBY AGREE TO ABIDE BY ALL AMA RULES AND THE CONSTITUTION,

BY-LAW’S, AND FIELD RULES OF THE SEQUIM R/C AERONAUTS.

SIGNED______________________________________DATE________________

This form may be mailed to:

Sequim R/C Aeronauts
P.O. Box 1336
Sequim, WA 98382

Initiation Fee Paid $___________   Dues Paid $___________
$15.00 $7.50 $30.00 $15.00
Adult Under 18 Adult Under 18
(Dues prorated if new member)

If this form is mailed, you must include a photocopy of your current AMA card.

Club meets every third Tuesday of the month at 6:45 PM in the basement of the Sequim Bible Church, 847 North Sequim Avenue.