Washington County Model Aviation Association Inc.
WCMAA
AMA Charter #1779
Membership Application
Current
American Modelers Association (AMA) Membership is required
To be able to fly at
Club
dues are $35.00 per year plus an initiation fee of $20.00 for adult members.
Junior members (16 years old and under) pay $5 a year
plus and initiation fee of $5.
Dues are payable by January 1. A Mingo park permit is needed for each flying
member. These can be obtained through the Washington County Parks and
Recreation Department, first floor of Court House square in
Name______________________________________________________________ Date of birth ______________________
AMA No.___________ Street Address _____________________________________________________________________
Home Phone _____________________ Cell _________________________ e-mail address _________________________
Occupation ___________________Place of employment
________________________________________________________
Modeling Interest
Present Equipment
Aircraft _________________________ ___________________________________ _________________________________
Engines _________________________ __________________________________ _____________________________
Radio __________________________ __________________________________ ________________________________
Frequency/s/Channels ________ ________ _________ __________ _________ __________ ___________ _________
The above applicant is recommended by the following (2) members in good standing:
Name _______________________________ AMA Number __________________ Date ___________________
Name _______________________________ AMA
Number __________________ Date ___________________
Application Date _______________ Membership
Fee __________________ Initiation Fee _______________
Membership____________________ Approved by
_______________________________________(Officer)
Membership Application (WEB) 06/2007